NW ANXIETY INSTITUTE, LLC (NPI# 1043649080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043649080 |
| Entity Type | Organization |
| Organization Name | NW ANXIETY INSTITUTE, LLC |
| Practice Address |
325 Nw 21st Ave Suite 100 Portland OR 97209-1174 |
| Practice Telephone | 5036799435 |
| Practice Fax Number | 5032962262 |
| Mailing Fax Number | 5032962262 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | ALLISON BONIFAY (LICENSED MENTAL HEALTH THERAPIST) |
| Authorized Official Telephone | 5036799435 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C2836 | OR | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NW ANXIETY INSTITUTE, LLC | 32 Nw 11st Avenue, Portland, OR 97232 |
| Street Address |
325 NW 21ST AVE SUITE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-1174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639104870 | Kim A Watt | Counselor | 325 Nw 21st Ave, Suite 203, Portland, OR 97209-1174 | 2006-07-12 |
| 1851661599 | Jennifer Bard Wohl | Counselor | 325 Nw 21st Ave, Suite 101, Portland, OR 97209-1174 | 2012-01-11 |
| 1932348661 | Vivian Aguilera | Social Worker | 325 Nw 21st Ave, Portland, OR 97209-1174 | 2009-02-19 |
| 1689853913 | Veronica Gallegos-lozano | Social Worker | 325 Nw 21st Ave, Suite 103, Portland, OR 97209-1174 | 2007-11-02 |
| 1700071735 | W. Michael Wolf | Massage Therapist | 325 Nw 21st Ave, Portland, OR 97209-1174 | 2007-09-12 |
| 1881887586 | Iris Wolf | Physical Therapist | 325 Nw 21st Ave, Portland, OR 97209-1174 | 2007-08-25 |
| 1831398130 | Robert Baskin Anderson | Counselor | 325 Nw 21st Ave, Suite 203, Portland, OR 97209-1174 | 2007-07-16 |
| 1164557849 | Counseling Solutions LLC | Counselor | 325 Nw 21st Ave, Suite 203, Portland, OR 97209 | 2007-02-22 |
| 1346381522 | Christine Reeh Vosburg | Counselor | 325 Nw 21st Ave, Suite 103, Portland, OR 97209 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| 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.