NPIMap

Naomi Ann Mandsager, LPC, PH. D.

Individual provider Active NPI Professional Counselor · Fairview, OR

NPI 1043464423 · NPPES record last updated Nov 11, 2008

Key facts

NPI
1043464423
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
C1500 (OR)
Practice address
1450 NE Village St
Fairview, OR 97024-3827
Phone
(503) 492-4492
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C1500ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian G Cox LCSW PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1500 OR
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X C1500 OR Yes

Addresses

Primary practice location

1450 NE Village St
Fairview, OR 97024-3827

Mailing address

1450 NE Village St
Fairview, OR 97024-3827
Phone (503) 492-4492

Other providers in Fairview, OR

All providers in Fairview, OR · Professional Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.