Active NPI
Randall Scott Jones, M.ED., CADC1
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1962540344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3325 Harold Dr NE
Salem, OR 97305-1339 - Phone
- (503) 363-2021
- Fax
- (503) 363-4820
- NPI assigned
- Feb 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 061131 | OR | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3325 Harold Dr NE
Salem, OR 97305-1339
Mailing address
2548 Phipps Cir NE
Salem, OR 97305-1949
Phone (503) 566-3768
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061131 | Other | OR | CADC1 CERTIFICATION |
| 4835505 | Other | OR | DRIVER'S LICENSE |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061131 | OR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1962540344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2548 PHIPPS CIR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973051949",
"telephone_number": "503-566-3768"
},
{
"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": "JONES",
"first_name": "RANDALL",
"middle_name": "SCOTT",
"credential": "M.ED., CADC1",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "061131",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CADC1 CERTIFICATION",
"identifier": "061131",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "4835505",
"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 Sep 11, 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.