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JACKIE LYNN WEASEL
NPI 1912705955
Counselor - Mental Health in Salem, OR

Active since March 05, 2025
4385 SUNNYVIEW RD NE, SALEM, OR 97305(503) 400-3340 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Lynn Weasel NPPES

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

JACKIE LYNN WEASEL (NPI 1912705955) is an individual mental health provider in Salem, Oregon and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1912705955
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE LYNN WEASEL
Location Address4385 SUNNYVIEW RD NESalem, OR 97305-1869
Mailing Address1750 Nebraska Ave Bldg AGrants Pass, OR 97527-5700 · (541) 956-4943
Phone(503) 400-3340
Sole ProprietorNo
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1912705955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4385 SUNNYVIEW RD NE, Salem, OR 97305
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Other Providers at the Same Location NPPES 20

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

DESIREE DAWN SHIPPEY
Counselor
4385 SUNNYVIEW RD NE
SALEM, OR 97305
Marion County (503) 400-3340
JEFF SNYDER
Counselor (Mental Health)
4385 SUNNYVIEW RD NE
SALEM, OR 97305
Marion County (503) 400-3340
MARIAH DICHARI
Counselor
4385 SUNNYVIEW RD NE
SALEM, OR 97305
Marion County (503) 400-3340
PAMELA COCHRAN
Counselor (Mental Health)
4385 SUNNYVIEW RD NE
SALEM, OR 97305
Marion County (503) 400-3340
MIRIUM SHIPPEY
Counselor (Mental Health)
4385 SUNNYVIEW RD NE
SALEM, OR 97305
Marion County (503) 400-3340
ELIZABETH TAYLOR
Counselor
4385 SUNNYVIEW RD NE
SALEM, OR 97305
Marion County (503) 400-3340
ELIZABETH JOSLEN
Peer Specialist
4385 SUNNYVIEW RD NE
SALEM, OR 97305
Marion County (503) 400-3340
ALANA KAYLYNN VANECK
Counselor (Mental Health)
4385 SUNNYVIEW RD NE
SALEM, OR 97305
Marion County (503) 400-3340

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 Jackie Weasel's NPI number?

The NPI number for Jackie Weasel is 1912705955. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Jackie Weasel located?

Jackie Weasel practices at 4385 Sunnyview Rd NE, Salem, OR 97305. The listed phone number is (503) 400-3340.

What is Jackie Weasel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jackie Weasel was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.