WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC (NPI# 1629511472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629511472 |
| Entity Type | Organization |
| Organization Name | WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC |
| Practice Address |
12636 Se Stark St Bldg J Portland OR 97233-1058 |
| Mailing Address |
Po Box 82819 Portland OR 97282-0819 |
| Practice Telephone | 5032534600 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | AMANDA ROBERTSON (CONTRACT AND CREDENTIALING) |
| Authorized Official Telephone | 5032335405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669915344 | Western Psychological and Counseling Services PC | Counselor | 9700 Sw Beaverton Hillsdale Hwy Bldg B, Beaverton, OR 97005-3306 | 2016-11-29 |
| 1447624663 | Western Psychological and Counseling Services PC | Health Maintenance Organization | 22070 Ne Chinook Way, Fairview, OR 97024-2647 | 2015-11-26 |
| 1255738092 | Western Psychological and Counseling Services PC | Community/Behavioral Health | 870 Se 82nd, Gladstone, OR 97027 | 2014-11-21 |
| 1588083166 | Western Psychological and Counseling Services PC | Community/Behavioral Health | 3500 Ne Mlk Blvd, Suite 200, Portland, OR 97212-2093 | 2014-04-10 |
| 1093971640 | Western Psychological and Counseling Services PC | Counselor | 9670 Sw Beaverton-hillsdale Hwy, Beaverton, OR 97027 | 2008-08-04 |
| 1679669873 | Western Psychological and Counseling Services PC | Social Worker | 7507 Ne 51st St, Vancouver, WA 98662-6007 | 2006-10-05 |
| 1215468665 | Western Psychological and Counseling Services PC | Counselor | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2017-03-27 |
| 1891238648 | Western Psychological and Counseling Services PC | Counselor | 2103 Ne 129th St Ste 101, Vancouver, WA 98686-3270 | 2016-11-28 |
| 1073056826 | Western Psychological and Counseling Services PC | Counselor | 18765 Sw Boones Ferry Rd Ste 100, Tualatin, OR 97062-8607 | 2016-11-28 |
| 1588107320 | Western Psychological and Counseling Services PC | Counselor | 1815 Sw Marlow Ave Ste 218, Portland, OR 97225-5187 | 2016-11-28 |
| Street Address |
12636 SE STARK ST BLDG J |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255421160 | Michelle Dawn Craig | Counselor | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2006-10-13 |
| 1164036455 | Abigail Elizabeth Schultz | Counselor | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2020-09-03 |
| 1144704214 | Sharon M Hatrak | Counselor | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2018-09-24 |
| 1669991295 | Debbie Kielty | Social Worker | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2017-09-14 |
| 1376908467 | Eugenia Salomon | Marriage & Family Therapist | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2015-12-16 |
| 1659757185 | Sasha Stel-ferguson | Social Worker | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2015-08-06 |
| 1578949640 | Laura Lyons | Counselor | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2015-07-30 |
| 1295127637 | Martha Villegas-gutierrez | Psychologist | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2015-02-23 |
| 1740566496 | Megan Larraine Rabon | Psychologist | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2011-10-26 |
| 1568750230 | Maria Berman | Counselor | 12636 Se Stark St Bldg J, Portland, OR 97233-1058 | 2011-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| 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.