Active NPI
Eli Kinsley, LCSW
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1912422932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L11766
- Practice address
- 565 Union St NE Ste 208B
Salem, OR 97301-2418 - Phone
- (971) 701-4755
- NPI assigned
- Aug 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | L11766 | OR | Primary |
Addresses
Primary practice location
565 Union St NE Ste 208B
Salem, OR 97301-2418
Mailing address
4857 Oregano Ave NE
Salem, OR 97301-4667
Phone (971) 701-4755
Other practice location 1
565 Union St NE Ste 105
Salem, OR 97301-2416
Phone (503) 363-2021
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
| License | State | Type | Specialty |
|---|---|---|---|
| L11766 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction Counseling and Education Services Inc. | Addiction (Substance Use Disorder) | Past | 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.
-
- Mental Health Counselor
- Eugene, OR
- NPI 1780712851
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1912422932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4857 OREGANO AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014667",
"telephone_number": "971-701-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 UNION ST NE STE 208B",
"city": "SALEM",
"state": "OR",
"postal_code": "973012418",
"telephone_number": "971-701-4755"
}
],
"practiceLocations": [
{
"address_1": "565 Union St NE Ste 105",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973012416",
"country_code": "US",
"telephone_number": "503-363-2021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINSLEY",
"first_name": "ELI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-10",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L11766",
"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 Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.