Individual provider Active NPI

Andrea Joy Oelfke, MA

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1023409786
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R2898 Issued in OR
Practice address
8325 SW 61St Ave
Portland, OR 97219-3109
Phone
(503) 875-1846
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R2898 OR Primary

Addresses

Primary practice location

8325 SW 61St Ave
Portland, OR 97219-3109

Mailing address

PO Box 80524
Portland, OR 97280-1524
Phone (503) 875-1846

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
I20241111002162 OR Practitioner - Mental Health Counselor 5395279582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Health and Wellness LLCGroup PAC ID 6204275100, 7 clinicians

Practice addresses (Care Compare)

700 NE Multnomah St
Suite 275
Portland, OR 97232-4103
Phone (503) 729-1380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R2898ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Health & Wellness LLC CurrentSince Sep 2, 2024 Accepting new patients

Locations

700 NE Multnomah St
Ste 275
Portland, OR 97232
Phone (503) 729-1380

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.

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1023409786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80524",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972801524",
            "telephone_number": "503-875-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 SW 61ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193109",
            "telephone_number": "503-875-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OELFKE",
        "first_name": "ANDREA",
        "middle_name": "JOY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.