Active NPI
Joseph Cover
- Addiction (Substance Use Disorder) Counselor
- Salem, OR
National Provider Identifier
1851784045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3325 Harold Dr NE
Salem, OR 97305-1339 - Phone
- (503) 363-2021
- Fax
- (503) 363-4820
- NPI assigned
- Mar 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR | Primary |
Addresses
Primary practice location
3325 Harold Dr NE
Salem, OR 97305-1339
Mailing address
3325 Harold Dr NE
PO Box 17818
Salem, OR 97305-1339
Phone (503) 363-2021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26-3634042 | Medicaid | OR |
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": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1851784045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 HAROLD DR NE",
"address_2": "PO BOX 17818",
"city": "SALEM",
"state": "OR",
"postal_code": "973051339",
"telephone_number": "503-363-2021",
"fax_number": "503-363-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 HAROLD DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973051339",
"telephone_number": "503-363-2021",
"fax_number": "503-363-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVER",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26-3634042",
"state": "OR"
}
],
"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 Mar 11, 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.