LUSIJAH MARX (NPI# 1780726976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780726976 |
| Entity Type | Individual |
| Full Name | LUSIJAH MARX |
| Other Name | LAURA JACOBSON |
| Credential | PSYD, PMHNP, RN |
| Practice Address |
2901 E Burnside St Portland OR 97214-1831 |
| Practice Telephone | 5032385203 |
| Practice Fax Number | 5032385202 |
| Mailing Telephone | 5032385203 |
| Mailing Fax Number | 5032385202 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
964 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 298940 | 05 |
| Street Address |
2901 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871542647 | Gloria Jean Nepstead | Acupuncturist | 2901 E Burnside St, Portland, OR 97214-1831 | 2006-05-09 |
| 1386277150 | Stacy Ann Wilson | Peer Specialist | 2901 E Burnside St, Portland, OR 97214-1831 | 2020-02-19 |
| 1508416546 | Gracie James Dilley-bucciarelli | Counselor | 2901 E Burnside St, Portland, OR 97214-1831 | 2019-09-11 |
| 1396391496 | Kalee Summer Hoyt | Counselor | 2901 E Burnside St, Portland, OR 97214-1831 | 2019-08-14 |
| 1194377416 | Jennifer Benson | Social Worker | 2901 E Burnside St, Portland, OR 97214-1831 | 2019-07-16 |
| 1285294637 | Allison Marie Haws | Case Manager/Care Coordinator | 2901 E Burnside St, Portland, OR 97214-1831 | 2019-06-18 |
| 1538620992 | Maleka Taylor | Case Manager/Care Coordinator | 2901 E Burnside St, Portland, OR 97214-1831 | 2019-03-28 |
| 1447720784 | Yevgeniya Gluzberg | Peer Specialist | 2901 E Burnside St, Portland, OR 97214-1831 | 2018-11-29 |
| 1124505391 | Sundaura Lithman | Counselor | 2901 E Burnside St, Portland, OR 97214-1831 | 2018-07-20 |
| 1619453057 | Lydia Cortez-hickox | Peer Specialist | 2901 E Burnside St, Portland, OR 97214-1831 | 2018-07-18 |
| Find all providers in the same location | ||||
| 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 | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722345 | Izmirian Counseling, PC | Psychologist | 1450 Se Holgate Blvd, Portland, OR 97202-4717 | 2020-05-19 |
| 1669959078 | Pamela Michelle Taite | Psychologist | 1785 Ne Sandy Blvd Ste 270, Portland, OR 97232-2791 | 2018-07-27 |
| 1861850737 | Traci Rieckmann | Psychologist | 2925 Ne 53rd Ave, Portland, OR 97213-2437 | 2016-02-05 |
| 1417196999 | Elizabeth Rachael Starkweather | Psychologist | 212 Kent St Ste 4b, Portland, MI 48875-1448 | 2009-02-06 |
| 1477737294 | Bret Eugene Fuller | Psychologist | 037 Sw Hamilton St, Ste 3, Portland, OR 97239-4096 | 2007-12-28 |
| 1942414222 | Kathy Karpeles | Psychologist | 651 Forest Ave, Portland, ME 04101-1525 | 2007-05-09 |
| 1174736573 | Frances I. Page | Psychologist | 2726 Sw Ridge Drive, Portland, OR 97219-6204 | 2007-05-08 |
| 1386867562 | Nancy Kao Rhiannon | Psychologist | 2250 Nw Flanders St Ste 103, Portland, OR 97210-5409 | 2007-04-10 |
| 1477688000 | Britta Dinsmore | Psychologist | 7929 Sw 37th Ave, Suite D, Portland, OR 97219-3663 | 2007-02-23 |
| 1528111804 | Donald Dale Cohen | Psychologist | 511 Sw 10th Ave Ste 604, Portland, OR 97205-2707 | 2007-01-19 |
| 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.