Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Purcell Sisto, QMHP, CADC-II

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972278158

Purcell Sisto, QMHP, CADC-II is an Addiction (Substance Use Disorder) Counselor in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
Specialties on file
3

Practice location Address checks out

565 Union St NE Ste 105
Salem, OR 97301-2416
Phone: (503) 540-5554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence T-20-506 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22-05-10407 (OR)

Record details

NPI number1972278158
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHP , CADC-II
Sole proprietorNo
NPI enumeratedAugust 10, 2021
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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