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KIM Y. WAITERS CADC REGISTRANT
NPI 1962190546
Counselor - Addiction (Substance Use Disorder) in Lebanon, OR

Active since May 01, 2023
1600 S MAIN ST, LEBANON, OR 97355(541) 451-5932 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 13, 2025, May 1, 2023 (2 updates tracked since 2023).

About Kim Y. Waiters Cadc Registrant NPPES

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

KIM Y. WAITERS CADC REGISTRANT (NPI 1962190546) is an individual addiction (substance use disorder) provider in Lebanon, Oregon, licensed in Oregon (24-04-11094) and active in the NPI registry since May 2023. She maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1962190546
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIM Y. WAITERSCredential: CADC REGISTRANT
Location Address1600 S MAIN STLebanon, OR 97355-3109
Mailing AddressPo Box 100Albany, OR 97321-0031 · (541) 967-3866
Phone(541) 451-5932
Sole ProprietorNo
Enumeration DateMay 1, 2023
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1962190546 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
License✔ Licensed in OR · 24-04-11094
1600 S MAIN ST, Lebanon, OR 97355
Open in Google Maps ↗

Secondary Practice Location 1

Location 11160 Liberty St SESalem, OR 97302-4143 · Phone (503) 860-9099 · Fax (503) 315-2019

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.

NAOMI RENEE MACKEY RN
Registered Nurse
1600 S MAIN ST
LEBANON, OR 97355
Linn County (541) 451-5932
WENDY HULL LMFT
Counselor (Mental Health)
1600 S MAIN ST
LEBANON, OR 97355
Linn County (541) 451-5932
MR. DAVID R BAUER LMFT
Counselor (Mental Health)
1600 S MAIN ST
LEBANON, OR 97355
Linn County (541) 451-5932
SHYLENE LARSON MA
Psychologist (Forensic)
1600 S MAIN ST
LEBANON, OR 97355
Linn County (541) 451-5932
CRYSTAL ROSE WISS
Counselor (Professional)
1600 S MAIN ST
LEBANON, OR 97355
Linn County (541) 451-5932
MELISSA WILSON LCSW
Social Worker (Clinical)
1600 S MAIN ST
LEBANON, OR 97355
Linn County (541) 451-5932
LISA NGUYEN
Case Manager/Care Coordinator
1600 S MAIN ST
LEBANON, OR 97355
Linn County (541) 451-5932
JACLYN NICOLE BROOKS MS, LBA, BCBA
Counselor (Mental Health)
1600 S MAIN ST
LEBANON, OR 97355
Linn County (541) 915-0787

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 Kim Waiters's NPI number?

The NPI number for Kim Waiters is 1962190546. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Kim Waiters located?

Kim Waiters practices at 1600 S Main St, Lebanon, OR 97355. The listed phone number is (541) 451-5932.

What is Kim Waiters'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 Kim Waiters was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.