Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184068793 Individual Practitioner Male Practitioner

John Ackley , CADC II, CGAC I, QMHA

Counselor • Salem, OR

Professional Overview & Biography Verified Profile Summary

John Ackley, CADC II, CGAC I, QMHA is a registered healthcare professional specializing in Counselor in Salem, OR. Practice services are available at 3878 BEVERLY AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3878 Beverly Ave Ne
Bldg H, Suite 5

Salem, OR 973051394

Telephone 5033990670
Fax 5033990655

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
197 Specialists

Practicing in Salem, OR (4551 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR G 16-04-01

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 12-06-75U

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Desiree Velasco , AA, CADC1

Counselor - Addiction (Substance Use Disorder)

NPI 1063813707
Wendy Patzke , BS, QMHA, CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1164810560

Bachelor of Science, QMHA, CADCI

David Taghon

Counselor - Addiction (Substance Use Disorder)

NPI 1295154896
Dwayne Graves , CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1457894552
Eliseo Calvillo , CACD I

Counselor - Addiction (Substance Use Disorder)

NPI 1497195432

CACDI

Anna Maceira , CADC II

Counselor - Mental Health

NPI 1548414899

CADCII

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2016

Registered at 3878 BEVERLY AVE NE, BLDG H, SUITE 5, SALEM, OR 973051394 (Tel: 5033990670)

📍
Updated Business Mailing Address May 26, 2016

Registered at 3878 BEVERLY AVE NE, BLDG H, SUITE 5, SALEM, OR 973051394 (Tel: 5033990670)

👤
Provider Name / Credentials Updated May 26, 2016

Recorded as JOHN ACKLEY, CADC II, CGAC I,QMHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2016

Counselor (License #G 16-04-01 in OR)

🟢
Initial NPI Registration & Enumeration April 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184068793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2013
Last Update: May 26, 2016
Sole Proprietor: No

Mailing Address

3878 Beverly Ave Ne, Bldg H, Suite 5

Salem, OR 973051394

Phone: 5033990670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.