Joseph Raymond Ivers, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4890 32ND Ave SE
Salem, OR 97317-9350

Phone

(503) 588-5647

Fax

(503) 588-0509

NPI assigned

Sep 24, 2013

Last updated

Mar 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 2, 2024 through Mar 2, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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

• Christian Community Placement Center

  dba Connections365

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1174698971
  NPD (past)
• Christian Community Placement Center

  • Foster Care Agency
  • Salem, OR
  • NPI 1700194875
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1659707420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 32ND AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973179350",
            "telephone_number": "503-588-5647",
            "fax_number": "503-588-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 32ND AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973179350",
            "telephone_number": "503-588-5647",
            "fax_number": "503-588-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERS",
        "first_name": "JOSEPH",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Isaksen, D.C.
• Heather Isham, QMHP-R
• Ryan Ishihara, ATC
• Al Arabia Islam
• Loretta Islas, CADC II
• Aimee Iverson, QMHA
• Dennis Iverson, DDS
• Shawna Deanne Iverson, MOT OTR L
• Daryl L. Ivins, PT
• Yuko Iwanaga, DO

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.