Individual provider Active NPI

Anna Christine Maceira, CADC II

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1548414899
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3878 Beverly Ave NE Ste 5
Salem, OR 97305-1335
Phone
(503) 399-0670
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10-06-57 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 08-08-21 OR
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3878 Beverly Ave NE Ste 5
Salem, OR 97305-1335

Mailing address

1529 Wiltsey Rd SE Apt 220
Salem, OR 97306-8558
Phone (503) 399-0670

Other identifiers 3

IdentifierTypeStateIssuer
10-06-57OtherORCERTIFIED ALCOHOL AND DRUG COUNSELOR
10-06-57MedicaidOR
08-08-21OtherORADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211014001650 OR Practitioner - Clinical Social Worker 1759789167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marion County CurrentSince Oct 9, 2021 Accepting new patients
Marion County CurrentSince Oct 9, 2021 Accepting new patients

Locations

3180 Center St NE
Ste 2100
Salem, OR 97301
Phone (503) 378-7526

2045 Silverton Rd NE
Salem, OR 97301
Phone (503) 576-4589

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1548414899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 WILTSEY RD SE APT 220",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973068558",
            "telephone_number": "503-399-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 BEVERLY AVE NE STE 5",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051335",
            "telephone_number": "503-399-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEIRA",
        "first_name": "ANNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "10-06-57",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "08-08-21",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ALCOHOL AND DRUG COUNSELOR",
            "identifier": "10-06-57",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-06-57",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON",
            "identifier": "08-08-21",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.