Individual provider Active NPI

Toni J Kinser-Harris

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
National Provider Identifier
1790183606
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11-03-18 Issued in OR
Practice address
3871 Fairview Industrial Dr SE Ste 150
Salem, OR 97302-1172
Phone
(541) 391-9762
Fax
(503) 315-2019
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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 11-03-18 OR Primary

Addresses

Primary practice location

3871 Fairview Industrial Dr SE Ste 150
Salem, OR 97302-1172

Mailing address

315 14TH Ave SE
Albany, OR 97322-3319
Phone (541) 905-2104

Other names 1

  • Toni J Kinser-Harris Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1790183606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223319",
            "telephone_number": "541-905-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 FAIRVIEW INDUSTRIAL DR SE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021172",
            "telephone_number": "541-391-9762",
            "fax_number": "503-315-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSER-HARRIS",
        "first_name": "TONI",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "11-03-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "KINSER-HARRIS",
            "middle_name": "J",
            "credential": "CADC 1",
            "code": "2",
            "type": "Professional 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 Dec 9, 2014; 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.