Active NPI
William Valley Mental Health LLC
- Marriage & Family Therapist
- Salem, OR
National Provider Identifier
1538568639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0834
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Salem, OR
- NPI 1326471376
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.