Individual provider Active NPI

Erandy Paz, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
National Provider Identifier
1649033291
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T-24-3567 Issued in OR
Practice address
465 Commercial St NE Ste 150
Salem, OR 97301-3414
Phone
(503) 304-4358
Fax
(503) 304-4361
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T-24-3567 OR Primary

Addresses

Primary practice location

465 Commercial St NE Ste 150
Salem, OR 97301-3414

Mailing address

PO Box 20674
Keizer, OR 97307-0674
Phone (503) 304-4358

Other practice location 1

3793 River Rd N
Keizer, OR 97303-4827
Phone (503) 304-4358

Other practice location 2

695 SE 1st Ave
Canby, OR 97013-3848
Phone (503) 304-4358

Other practice location 3

5775 Jean Rd Ste 104
Lake Oswego, OR 97035-5311
Phone (503) 304-4358

Other practice location 4

147 SW Court St
Dallas, OR 97338-3112
Phone (503) 304-4358

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
T-24-3567ORMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Recovery Resources, Inc. Addiction (Substance Use Disorder) PastSince Dec 17, 2023 Accepting new patients
Renaissance Recovery Resources, Inc. PastSince Dec 26, 2021 Accepting new patients
Oregon Recovery Behavioral Health PastSince May 7, 2023 Accepting new patients
Renaissance Recovery Resources, Inc. PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 4

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1649033291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20674",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973070674",
            "telephone_number": "503-304-4358",
            "fax_number": "503-304-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 COMMERCIAL ST NE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013414",
            "telephone_number": "503-304-4358",
            "fax_number": "503-304-4361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3793 River Rd N",
            "address_purpose": "LOCATION",
            "city": "Keizer",
            "state": "OR",
            "postal_code": "973034827",
            "country_code": "US",
            "telephone_number": "503-304-4358",
            "fax_number": "503-304-4361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 SE 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "OR",
            "postal_code": "970133848",
            "country_code": "US",
            "telephone_number": "503-304-4358",
            "fax_number": "503-304-4361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5775 Jean Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970355311",
            "country_code": "US",
            "telephone_number": "503-304-4358",
            "fax_number": "503-304-4361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 SW Court St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973383112",
            "country_code": "US",
            "telephone_number": "503-304-4358",
            "fax_number": "503-304-4361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZ",
        "first_name": "ERANDY",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-24-3567",
            "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 Feb 5, 2024; 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.