NORTHWEST FAMILY SERVICES (NPI# 1023476710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023476710 |
Entity Type | Organization |
Organization Name | NORTHWEST FAMILY SERVICES |
Practice Address |
6200 Se King Rd Portland OR 97222-2891 |
Practice Telephone | 5035466377 |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-02-09 |
Authorized Official Name | ROSE FULLER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5035466377 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 175T00000X | Peer Specialist | Other Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 172V00000X | Community Health Worker | Other Service Providers | ||
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500679014 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275695934 | Northwest Family Services | Social Worker | 6200 Se King Rd, Portland, OR 97222-2891 | 2006-12-15 |
1083149215 | Northwest Family Services | Community/Behavioral Health | 6200 Se King Rd, Portland, OR 97222-2891 | 2017-04-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NORTHWEST FAMILY SERVICES | 6200 Se King Rd, Portland, OR 97222-2891 |
Oregon Corporations, Companies and Business Names | NORTHWEST FAMILY SERVICES | 6200 Se King Rd, Portland, OR 97222 |
System for Award Management (SAM) Entities | NORTHWEST FAMILY SERVICES DDA FAMILY RESOURCE CENTERS | 530 S Main St, Lima, OH 45804-1240 |
Street Address |
6200 SE KING RD |
City | PORTLAND |
State | OR |
Zip Code | 97222-2891 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275695934 | Northwest Family Services | Social Worker | 6200 Se King Rd, Portland, OR 97222-2891 | 2006-12-15 |
1083215958 | Kennedy Cheyenne Benitez | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2020-11-05 |
1508498908 | Brian Bracelin | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2020-02-04 |
1558905562 | Chantelle Volk | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2019-11-01 |
1992352538 | Terence Kennedy | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2019-08-19 |
1619521887 | Jonathan Boisvert | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2019-07-26 |
1689148926 | Ravin Brown | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2019-01-21 |
1184119315 | Josefina Wendy Acevedo-giles | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2018-06-29 |
1134626831 | Liliana Acosta | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2018-04-09 |
1417465451 | Katelyn Cushman | Counselor | 6200 Se King Rd, Portland, OR 97222-2891 | 2018-01-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
Find all providers in zip 97222 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.