Individual provider Active NPI

Triena Baird, CADC II

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
National Provider Identifier
1881093375
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12-06-78 Issued in OR
Practice address
465 Commercial St NE Ste 150
Salem, OR 97301-3414
Phone
(503) 362-2780
Fax
(503) 362-2768
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 099005166LPN OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 12-06-78 OR Primary

Addresses

Primary practice location

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

Mailing address

PO Box 17818
Salem, OR 97305-7818
Phone (503) 363-2021

Other practice location 1

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

Other identifiers 2

IdentifierTypeStateIssuer
12-06-78OtherORADDICTION COUNSELORS CERTIFICATION BOARD OF OREGON (ACCBO)
099005166LPNMedicaidOR

Other names 1

  • Triena Link Former 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

State licenses

LicenseStateTypeSpecialty
099005166LPNORMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Recovery Resources, Inc. Addiction (Substance Use Disorder) PastSince Dec 17, 2023 Accepting new patients

Organizations & group practices 1

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": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1881093375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17818",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973057818",
            "telephone_number": "503-363-2021"
        },
        {
            "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": "503-362-2780",
            "fax_number": "503-362-2768"
        }
    ],
    "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"
        }
    ],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "TRIENA",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "099005166LPN",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "12-06-78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION COUNSELORS CERTIFICATION BOARD OF OREGON (ACCBO)",
            "identifier": "12-06-78",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099005166LPN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRIENA",
            "last_name": "LINK",
            "credential": "LPN",
            "code": "1",
            "type": "Former 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 15, 2023; 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.