VICKIE HANEBERG MA LPC LLC - NPI 1396697504 - Community/Behavioral Health in Salem, OR

Q: What is Vickie Haneberg Ma Lpc LLC's NPI number?

The NPI number for Vickie Haneberg Ma Lpc LLC is 1396697504. It was assigned to this organization in the NPPES registry on February 10, 2026.

Q: What is Vickie Haneberg Ma Lpc LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Vickie Haneberg Ma Lpc Llc NPPES

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

VICKIE HANEBERG MA LPC LLC (NPI 1396697504) is a healthcare organization registered as a community/behavioral health in Salem, Oregon and active in the NPI registry since February 2026. The organization lists Vickie Hurst, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1396697504

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameVICKIE HANEBERG MA LPC LLC

Location Address780 COMMERCIAL ST SE STE 201Salem, OR 97301-3463

Mailing Address780 Commercial St Se Ste 201Salem, OR 97301-3463 · (503) 877-8728 · Fax (503) 386-2453

Phone(503) 877-8728

Fax(503) 386-2453

Organization SubpartNo

Authorized OfficialVickie HurstOwner/provider · (503) 877-8728

Enumeration DateFebruary 10, 2026

NPPES CertifiedFebruary 10, 2026

✔ NPI 1396697504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

780 COMMERCIAL ST SE STE 201, Salem, OR 97301

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Other Identifiers 1

Medicaid500656590OR

Other Providers at the Same Location NPPES 8

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

TANYA ROSE FOUNTAIN

Social Worker (Clinical)