DAVID IXTLAHUAC (NPI# 1144727348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144727348 |
| Entity Type | Individual |
| Full Name | DAVID IXTLAHUAC |
| Credential | LMFT |
| Practice Address |
1110 Se Alder St Ste 301 Portland OR 97214-2400 |
| Mailing Address |
3705 N Overlook Blvd Apt 311 Portland OR 97227-2036 |
| Practice Telephone | 9713038243 |
| Mailing Telephone | 9713038243 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T1543 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OBLPCT | T1543 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2600 Mission St Ste 201, San Marino, CA 911081676 | 6266237478 | 6267376034 |
| Street Address |
1110 SE ALDER ST STE 301 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396830832 | David Allan Myers | Psychologist | 1110 Se Alder St Ste 301, Portland, OR 97214-2400 | 2006-10-03 |
| 1538714472 | Samuel Robert Hill | Counselor | 1110 Se Alder St Ste 301, Portland, OR 97214-2400 | 2019-08-07 |
| 1902463110 | Halley Farwood | Psychologist | 1110 Se Alder St Ste 301, Portland, OR 97214-2400 | 2019-05-22 |
| 1801380050 | Lindsay Anderson | Counselor | 1110 Se Alder St Ste 301, Portland, OR 97214-2400 | 2018-06-20 |
| 1679903165 | Stephanie Frances Winn | Marriage & Family Therapist | 1110 Se Alder St Ste 301, Portland, OR 97214-2400 | 2013-11-19 |
| 1235312968 | Katie Morris Henson | Counselor | 1110 Se Alder St Ste 301, Portland, OR 97214-2400 | 2007-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082061 | Kelsey Miller | Marriage & Family Therapist | 5515 N Williams Ave, Portland, OR 97217-2452 | 2020-07-31 |
| 1255959631 | Veronica Terese Valdez | Marriage & Family Therapist | 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 | 2020-07-11 |
| 1649896630 | Moving Forward Staying Present LLC | Marriage & Family Therapist | 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 | 2020-06-25 |
| 1669001723 | Jennifer Melissa Moss | Marriage & Family Therapist | 12356 Ne Brazee St, Portland, OR 97230-1841 | 2020-04-02 |
| 1174153225 | Amanda Fitzpatrick | Marriage & Family Therapist | 5410 Sw Macadam Ave Ste 250, Portland, OR 97239-3807 | 2020-01-16 |
| 1679114003 | Craig Cardamone Individual and Relational Therapy Pllc | Marriage & Family Therapist | 12 Kellogg St Apt 1, Portland, ME 04101-4375 | 2019-10-07 |
| 1538716816 | Ayala Parker | Marriage & Family Therapist | 3540 Sw Boundary St, Portland, OR 97221-3817 | 2019-08-21 |
| 1720648363 | Alicia Roshelle Turgesen | Marriage & Family Therapist | 835 Se Stephens St Ste 202, Portland, OR 97214-4636 | 2019-06-17 |
| 1194281477 | Shelbee Louise Leach Macomber | Marriage & Family Therapist | 1520 Westbrook St, Portland, ME 04102-1621 | 2019-02-12 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 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.