Organization Active NPI

William Valley Mental Health LLC

  • Marriage & Family Therapist
  • Salem, OR
National Provider Identifier
1538568639
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0834 Issued in OR
Legal business name
WILLIAM VALLEY MENTAL HEALTH LLC
Practice address
161 High St SE
Suite 230
Salem, OR 97301-3660
Phone
(971) 263-7442
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gaedin A Keller, LMFT
Title
President
Phone
(971) 263-7442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X T0834 OR Primary

Addresses

Primary practice location

161 High St SE
Suite 230
Salem, OR 97301-3660

Mailing address

161 High St SE
Suite 230
Salem, OR 97301-3660
Phone (971) 263-7442

National Provider Directory

National Provider Directory
Tax ID family
Willamette Valley Mental Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

161 High St SE
Ste 230
Salem, OR 97301
Phone (971) 263-7442

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1538568639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HIGH ST SE",
            "address_2": "SUITE 230",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013660",
            "telephone_number": "971-263-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HIGH ST SE",
            "address_2": "SUITE 230",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013660",
            "telephone_number": "971-263-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM VALLEY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "GAEDIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-263-7442",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.