Active NPI
Elizabeth Boland, MSCP, LPC, NCC, CADC
- Professional Counselor
- Salem, OR
National Provider Identifier
1548730591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C6886
- Practice address
- 470 Lancaster Dr NE
Salem, OR 97301-4728 - Phone
- (503) 584-1906
- Fax
- (503) 584-1952
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | C6886 | OR | |
| Professional Counselor | 101YP2500X | C6886 | OR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | C6886 |
Addresses
Primary practice location
470 Lancaster Dr NE
Salem, OR 97301-4728
Mailing address
470 Lancaster Dr NE
Salem, OR 97301-4728
Phone (503) 584-1906
Other names 1
- Elizabeth Bernard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6886 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Addiction and Counseling Servcies LLC | Mental Health (Including Community Mental Health Center) | Past | Accepting new patients |
| Center for Addiction and Counseling Services | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Addiction (Substance Use Disorder) Counselor
- Salem, OR
- NPI 1740410224
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Salem, OR
- NPI 1609005065
Mental Health (Including Community Mental Health Center)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1548730591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014728",
"telephone_number": "503-584-1906",
"fax_number": "503-584-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014728",
"telephone_number": "503-584-1906",
"fax_number": "503-584-1952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLAND",
"first_name": "ELIZABETH",
"credential": "MSCP, LPC, NCC, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-03",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "OR",
"license": "C6886",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C6886",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "C6886",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "BERNARD",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.