NORTHWEST HUMAN SERVICES, INC.
NPI 1194082867
Clinic/Center - Federally Qualified Health Center (FQHC) in Salem, OR

Q: What is Northwest Human Services, Inc.'s NPI number?

The NPI number for Northwest Human Services, Inc. is 1194082867. It was assigned to this organization in the NPPES registry on April 18, 2012. The provider is doing business as West Salem Clinic Mental Health.

Q: What is Northwest Human Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since April 18, 2012

1233 EDGEWATER ST NW STE B, SALEM, OR 97304(503) 588-5816(503) 588-5803 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2026, Mar 13, 2023, Feb 24, 2023 (3 updates tracked since 2023).

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About Northwest Human Services, Inc. NPPES

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

NORTHWEST HUMAN SERVICES, INC. (NPI 1194082867), doing business as West Salem Clinic Mental Health, is a healthcare organization registered as a federally qualified health center (fqhc) in Salem, Oregon and active in the NPI registry since April 2012. The organization lists Kimberly Leathley, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1194082867

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHWEST HUMAN SERVICES, INC.

Location Address1233 EDGEWATER ST NW STE BSalem, OR 97304-4049

Mailing Address681 Center St NeSalem, OR 97301-3722 · (503) 588-5828 · Fax (503) 588-5852

Phone(503) 588-5816

Fax(503) 588-5803

Organization SubpartYes

Authorized OfficialKimberly LeathleyChief Executive Officer · (503) 588-5828

Enumeration DateApril 18, 2012

Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1194082867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

1233 EDGEWATER ST NW STE B, Salem, OR 97304

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Other Names 1

Doing Business AsWest Salem Clinic Mental Health

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Human Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOregonEnrollment IDO20120725001026Part A · Federally Qualified Health Center (FQHC)Due dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 6

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

MS. LISA ANNE RIPPERTON LCSW, LCAS

Social Worker (Clinical)