IndividualActive
Justin Nielsen, CADCII
NPI 1124324330 · Addiction (Substance Use Disorder) Counselor · Keizer, OR
Provider details
- NPI number
- 1124324330
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADCII
- Sex
- Male
- Sole proprietor
- No
- License
- 08-08-54 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
3793 River Rd N
Keizer, OR 97303-4827
Phone: (503) 304-4358
Fax: (503) 304-4361
Street-level locationGet directions
Mailing address
Po Box 20674
Keizer, OR 97307-0674
Additional practice locations (4)
- 695 Se 1st AveCanby, OR 97013-3848Phone: (503) 304-4358Fax: (503) 304-4361
- 147 Sw Court StDallas, OR 97338-3112Phone: (503) 304-4358Fax: (503) 304-4361
- 5775 Jean Rd Ste 104Lake Oswego, OR 97035-5311Phone: (503) 304-4358Fax: (503) 304-4361
- 465 Commercial St Ne Ste 150Salem, OR 97301-3414Phone: (503) 304-4358Fax: (503) 304-4361
Registry dates
- Enumerated
- 2011-02-04
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.