Anne Emmett Therapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ANNE EMMETT THERAPY LLC

Practice address

1020 SW Taylor St Ste 560
Portland, OR 97205-2533

Phone

(503) 238-2405

Fax

(888) 974-3958

NPI assigned

Aug 7, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Anne Dolores Emmett, LCSWNPI 1215904370

Title

Owner

Phone

(503) 238-2405

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Dolores Emmett, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1215904370
  NPD Authorized official

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1023745239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11860",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972110860",
            "telephone_number": "503-238-0240",
            "fax_number": "888-974-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 560",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052533",
            "telephone_number": "503-238-2405",
            "fax_number": "888-974-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE EMMETT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "EMMETT",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-238-2405",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215904370",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anne Fleming, MD, LLC
• Annette Stevko
• Charles Annich, PSS/CRM
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• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.