IndividualActive
Jeremy Archibald, MH INTERN
NPI 1013289578 · Mental Health Counselor · Salem, OR
Provider details
- NPI number
- 1013289578
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MH INTERN
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3867 Wolverine St Ne Bldg F
Salem, OR 97305-4266
Phone: (503) 588-5352
Street-level locationGet directions
Mailing address
3867 Wolverine St Ne Bldg F
Salem, OR 97305-4266
Registry dates
- Enumerated
- 2012-01-31
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.