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JOHN ACKLEY CADC II CGAC IQMHA NPI 1184068793


NPI Information

NPI: 1184068793
Provider Name: JOHN ACKLEY, CADC II, CGAC I,QMHA
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3878 BEVERLY AVE NE
BLDG H, SUITE 5
SALEM, OR
ZIP 97305
Phone: (503) 399-0670
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John Ackley, CADC II, CGAC I,QMHA is a counselor in Salem, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. John Ackley, CADC II, CGAC I,QMHA NPI is 1184068793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3878 BEVERLY AVE NE
BLDG H, SUITE 5
SALEM, OR
ZIP 97305-394
Phone: (503) 399-0670
Fax: (503) 399-0655

The enumeration date for this NPI number is 4/25/2013 and was last updated on 5/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)12-06-75UOREGONNo
2101YM0800XCounselorMental HealthOREGONNo
3101Y00000XCounselorG 16-04-01OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.