Active NPI
Randi Weber Thoma, LPC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1013001692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1115
- Practice address
- 4800 S Macadam Ave Ste 350
Portland, OR 97239-3970 - Phone
- (503) 684-7948
- Fax
- (503) 684-7958
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 61123327 | WA | |
| Mental Health Counselor | 101YM0800X | C1115 | OR | Primary |
Addresses
Primary practice location
4800 S Macadam Ave Ste 350
Portland, OR 97239-3970
Mailing address
4800 S Macadam Ave Ste 350
Portland, OR 97239-3970
Phone (503) 684-7948
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4800 S Macadam Ave
Suite 350
Portland, OR 97239-3970
Phone 50368479482
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61123327 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randi Weber, LPC PC | Mental Health | Current | Accepting new patients |
Locations
4800 S Macadam Ave
Ste 350
Portland, OR 97239
Phone (503) 297-6656
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Portland, OR
- NPI 1386418457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1013001692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 S MACADAM AVE STE 350",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393970",
"telephone_number": "503-684-7948",
"fax_number": "503-684-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 S MACADAM AVE STE 350",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393970",
"telephone_number": "503-684-7948",
"fax_number": "503-684-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMA",
"first_name": "RANDI",
"middle_name": "WEBER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61123327",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C1115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.