Individual provider Active NPI

Dallas D Neighbors, CADC II, QMHA-R

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
National Provider Identifier
1821331943
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11-06-54 Issued in OR
Practice address
2045 Silverton Rd NE
Salem, OR 97301-0100
Phone
(503) 588-5351
NPI assigned
Mar 27, 2013
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 20-QMHA-R-0491 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 11-06-54 OR Primary

Addresses

Primary practice location

2045 Silverton Rd NE
Salem, OR 97301-0100

Mailing address

2045 Silverton Rd NE
Salem, OR 97301-0100
Phone (503) 588-5351

Other practice location 1

4848 Somerset Dr NE
Salem, OR 97305-2962
Phone (503) 569-1538

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
20-QMHA-R-0491ORMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Marion County CurrentSince Aug 2, 2020 Accepting new patients
Marion County PastSince Aug 2, 2020 Accepting new patients

Locations

2045 Silverton Rd NE
Salem, OR 97301
Phone (503) 576-4589

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1821331943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 SILVERTON RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010100",
            "telephone_number": "503-588-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SILVERTON RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010100",
            "telephone_number": "503-588-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4848 Somerset Dr NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973052962",
            "country_code": "US",
            "telephone_number": "503-569-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIGHBORS",
        "first_name": "DALLAS",
        "middle_name": "D",
        "credential": "CADC II, QMHA-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "20-QMHA-R-0491",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "11-06-54",
            "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 Jul 30, 2020; 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.