Individual provider Active NPI

Beth R James, LPC,CADCIII

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1003970294
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2268 Issued in OR
Practice address
1500 NW Bethany Blvd Ste 320
Beaverton, OR 97006-5238
Phone
(503) 567-3264
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01-03-17 OR
Mental Health Counselor 101YM0800X C2268 OR Primary

Addresses

Primary practice location

1500 NW Bethany Blvd Ste 320
Beaverton, OR 97006-5238

Mailing address

1500 NW Bethany Blvd Ste 320
Beaverton, OR 97006-5238
Phone (503) 567-3260

Other identifiers 1

IdentifierTypeStateIssuer
164936MedicaidOR

Other names 1

  • Beth R Kopplin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419003072 OR Practitioner - Mental Health Counselor 3476992637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2268ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Mar 4, 2020 Accepting new patients
Western Psychological and Counseling Services LLC Addiction (Substance Use Disorder) CurrentSince Mar 4, 2020 Accepting new patients
Western Psychological and Counseling Services PC Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1500 NW Bethany Blvd
Ste 320
Beaverton, OR 97006
Phone (503) 567-3260

66 Club Rd
Ste 210
Eugene, OR 97401
Phone (541) 343-2569

66 Club Rd
Ste 120
Eugene, OR 97401
Phone (541) 345-2800

66 Club Rd
Ste 300
Eugene, OR 97401

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

1700 NW Civic Dr
Ste 310
Gresham, OR 97030
Phone (503) 666-8832

8280 NE Mauzey Ct
Hillsboro, OR 97124
Phone (503) 439-9531

21210 NW Mauzey Rd
Hillsboro, OR 97124
Phone (503) 439-9531

12636 SE Stark St
Bldg J
Portland, OR 97233
Phone (503) 253-4600

3500 NE Mlk Jr Blvd
Ste 200
Portland, OR 97212
Phone (503) 327-8205

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.bethjames@148835.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1003970294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 320",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065238",
            "telephone_number": "503-567-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 320",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065238",
            "telephone_number": "503-567-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "BETH",
        "middle_name": "R",
        "credential": "LPC,CADCIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "01-03-17",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "KOPPLIN",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.