- 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, CADC II, CGAC I, QMHA is a Counselor based in Salem, OR. John Ackley, CADC II, CGAC I, QMHA holds the professional credentials of CADC II, CGAC I, QMHA. The NPI number for John Ackley, CADC II, CGAC I, QMHA is 1184068793 and holds license No. 12-06-75U (OR). The current practice location address is 3878 Beverly Ave NE, Bldg H, Suite 5, Salem, OR 97305-1394 and the office can be reached by phone at 503-399-0670 and by fax at 503-399-0655. The NPI was assigned on April 25, 2013 and the record was last updated in NPPES on May 26, 2016.
●Provider Profile Details
- NPI Number
- 1184068793
- Provider Name
- John Ackley
- Credential
- CADC II, CGAC I, QMHA
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Enumeration Date
- April 25, 2013
- Last Update Date
- May 26, 2016
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3878 Beverly Ave NE
Bldg H, Suite 5
Salem, OR 97305-1394 - City
- Salem
- State
- Oregon
- ZIP
- 97305-1394
- Country
- US
- Phone Number
- 503-399-0670
- Fax Number
- 503-399-0655
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | No | 12-06-75U | OR |
| Counselor, Mental Health | 101YM0800X | No | — | OR |
| Counselor | 101Y00000X | Yes | G 16-04-01 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Salem, OR
View all providers 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) and holds license No. 12-06-75U (OR).
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 at npiregistry.cms.hhs.gov.