Individual provider Active NPI

Jaime Silva, LPC, CRC, CADC 1

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1629468590
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3015 Issued in OR
Practice address
2395 Wembley Ave NW
Salem, OR 97304-1830
Phone
(503) 999-3637
NPI assigned
Jan 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C3015 OR Primary

Addresses

Primary practice location

2395 Wembley Ave NW
Salem, OR 97304-1830

Mailing address

2395 Wembley Ave NW
Salem, OR 97304-1830
Phone (503) 999-3637

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

LicenseStateTypeSpecialty
C3015ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1629468590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 WEMBLEY AVE NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973041830",
            "telephone_number": "503-999-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 WEMBLEY AVE NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973041830",
            "telephone_number": "503-999-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JAIME",
        "name_prefix": "Mr.",
        "credential": "LPC, CRC, CADC 1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3015",
            "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 Jan 30, 2015; 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.