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JACOB THOMAS VIDA
NPI 1164996278
Counselor - Addiction (Substance Use Disorder) in Salem, OR

Active since January 11, 2019
3321 HAROLD DR NE, SALEM, OR 97305(503) 399-5597 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacob Thomas Vida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB THOMAS VIDA (NPI 1164996278) is an individual addiction (substance use disorder) provider in Salem, Oregon and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1164996278
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACOB THOMAS VIDA
Location Address3321 HAROLD DR NESalem, OR 97305-1339
Mailing Address250 Church St Se Ste 202Salem, OR 97301-3921 · (503) 385-8395
Phone(503) 399-5597
Sole ProprietorNo
Enumeration DateJanuary 11, 2019
✔ NPI 1164996278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3321 HAROLD DR NE, Salem, OR 97305
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK CLANCY CRM
Counselor (Addiction (Substance Use Disorder))
3321 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 399-5597
RACHEL OVERALL
Peer Specialist
3321 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021
SANDRA CASTLES
Peer Specialist
3321 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021
PATRICIA CASTILLON CRM
Peer Specialist
3321 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021
MRS. CHRISTINA JEAN STAMBAUGH
Case Manager/Care Coordinator
3321 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 399-5597
EMILY DANIELLE STOUT
Counselor (Addiction (Substance Use Disorder))
3321 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021
ANITA MARIE NORTHCOTT
Adult Companion
3321 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 399-5597
ROBERT T FINK
Peer Specialist
3321 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Vida's NPI number?

The NPI number for Jacob Vida is 1164996278. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Jacob Vida located?

Jacob Vida practices at 3321 Harold Dr NE, Salem, OR 97305. The listed phone number is (503) 399-5597.

What is Jacob Vida's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacob Vida was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.