Active NPI
Tiana Petit Thompson, LPC, LMHC
- Counseling Psychologist
- Portland, OR
National Provider Identifier
1023454097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- C4006
- Practice address
- 2306 NE Glisan St
Portland, OR 97232-2392 - Phone
- (971) 998-6080
- NPI assigned
- May 17, 2013
- 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 | LH60586515 | WA | |
| Counseling Psychologist | 103TC1900X | C4006 | OR | Primary |
Addresses
Primary practice location
2306 NE Glisan St
Portland, OR 97232-2392
Mailing address
3415 NE 44TH Ave
Portland, OR 97213-1140
Phone (971) 998-6080
Other practice location 1
6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7369
Phone (360) 993-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60586515 | WA | MD | Mental Health Counselor |
| C4006 | OR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attune Counseling Services, LLC | Mental Health | Current | Accepting new patients |
Locations
2306 NE Glisan St
Portland, OR 97232
Phone (503) 888-3238
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 1528603354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573862400000",
"number": "1023454097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 NE 44TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131140",
"telephone_number": "971-998-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322392",
"telephone_number": "971-998-6080"
}
],
"practiceLocations": [
{
"address_1": "6926 NE Fourth Plain Blvd",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986617369",
"country_code": "US",
"telephone_number": "360-993-3000",
"fax_number": "360-993-3047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "TIANA",
"middle_name": "PETIT",
"name_prefix": "Mrs.",
"credential": "LPC, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-17",
"last_updated": "2019-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60586515",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OR",
"license": "C4006",
"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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.