- Practice location
- 3878 Beverly Ave NE, Bldg H, Suite 5, Salem, OR 97305-1394
- Phone
- 503-399-0670
- Fax
- 503-399-0655
- Last updated
- May 26, 2016
John Ackley is a Counselor based in Salem, OR. John Ackley practices in Salem, OR and has the professional credentials of CADC II, CGAC I, QMHA. The NPI Number for John Ackley is 1184068793 and holds a License No. 12-06-75U (OR). The current practice location address for John Ackley is 3878 Beverly Ave NE, Bldg H, Suite 5, Salem, OR 97305-1394 and can be reached out via phone at 503-399-0670 and via fax at 503-399-0655.
Provider Profile Details
- NPI Number
- 1184068793
- Provider Name
- John Ackley
- Credential
- CADC II, CGAC I, QMHA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3878 Beverly Ave NE, Bldg H, Suite 5, Salem, OR 97305-1394
- Phone Number
- 503-399-0670
- Fax Number
- 503-399-0655
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 25, 2013
- Last Update Date
- May 26, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3878 Beverly Ave NE
Bldg H, Suite 5
Salem, OR 97305-1394 - City
- Salem
- State
- Oregon
- Zip
- 97305-1394
- Phone Number
- 503-399-0670
- Fax Number
- 503-399-0655
Provider Business Mailing Address Details
- Address
- 3878 Beverly Ave NE
Bldg H, Suite 5
Salem, OR 97305-1394 - City
- Salem
- State
- OR
- Zip
- 97305-1394
- Phone Number
- 503-399-0670
- Fax Number
- 503-399-0655
License Information
- License Number (1)
- 12-06-75U
- License State (1)
- OR
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License State (2)
- OR
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- License Number (3)
- G 16-04-01
- License State (3)
- OR
- Taxonomy (3)
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Salem, OR
View all Counselors in Salem →Frequently Asked Questions
What is the NPI number of John Ackley, CADC II, CGAC I, QMHA?
The NPI number of John Ackley, CADC II, CGAC I, QMHA is 1184068793. It was assigned on April 25, 2013 and is currently active in the NPPES registry.
What is the specialty of John Ackley, CADC II, CGAC I, QMHA?
John Ackley, CADC II, CGAC I, QMHA is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in OR under license number 12-06-75U.
Where does John Ackley, CADC II, CGAC I, QMHA practice?
The practice location is 3878 Beverly Ave NE, Bldg H, Suite 5, Salem, OR 97305-1394. The office can be reached at 503-399-0670 (phone) or 503-399-0655 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184068793 directly on the NPPES registry website.