Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487540175 Individual Practitioner Male Practitioner

Ernest Bethea

Peer Specialist • Salem, OR

Professional Overview & Biography Verified Profile Summary

Ernest Bethea is a registered healthcare professional specializing in Peer Specialist in Salem, OR. Practice services are available at 1190 BROADWAY ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1190 Broadway St Ne

Salem, OR 973011141

Telephone 5033934273

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
312 Specialists

Practicing in Salem, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-06-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 113914

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

31 Associated Practitioners
Kimberly Dolan , PSS

Peer Specialist

NPI 1033096961
Albert Younger , CRM

Peer Specialist

NPI 1033943345
Gary Veteto , PSS

Peer Specialist

NPI 1063144087
Tim Key , PSS

Peer Specialist

NPI 1073459806
NPI 1104331370
Jaunda Ladd , PSS

Peer Specialist

NPI 1184463770

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2025

Registered at 1190 BROADWAY ST NE, SALEM, OR 973011141 (Tel: 5033934273)

📍
Updated Business Mailing Address June 17, 2025

Registered at 380 17TH ST SE, SALEM, OR 973018865 (Tel: 5034969746)

👤
Provider Name / Credentials Updated June 17, 2025

Recorded as ERNEST BETHEA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2025

Peer Specialist (License #113914 in OR)

🟢
Initial NPI Registration & Enumeration June 17, 2025

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: 1487540175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2025
Last Update: June 17, 2025
Sole Proprietor: Yes

Mailing Address

380 17th St Se

Salem, OR 973018865

Phone: 5034969746

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.