Active NPI
Anna Christine Maceira, CADC II
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1548414899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-06-57 | Other | OR | CERTIFIED ALCOHOL AND DRUG COUNSELOR |
| 10-06-57 | Medicaid | OR | |
| 08-08-21 | Other | OR | ADDICTION 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion County | Current | Accepting new patients | |
| Marion County | Current | 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.
-
- Adult Mental Health Clinic/Center
- Salem, OR
- NPI 1528147782
-
- Methadone Clinic
- Salem, OR
- NPI 1386706919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.