NPIMap

Organization Active NPI

NW Anxiety Institute, LLC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1043649080
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2836 Issued in OR
Legal business name
NW ANXIETY INSTITUTE, LLC
Practice address
32 NE 11TH Ave
Portland, OR 97232-3001
Phone
(503) 542-7635
Fax
(503) 296-2262
NPI assigned
Nov 8, 2013
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Allison Bonifay, LPCNPI 1174832000
Title
Licensed Mental Health Therapist
Phone
(503) 679-9435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2836 OR Primary

Addresses

Primary practice location

32 NE 11TH Ave
Portland, OR 97232-3001

Mailing address

32 NE 11TH Ave
Portland, OR 97232-3001
Phone (503) 542-7635

Other practice location 1

923-927 NE Couch St
Portland, OR 97232-3001
Phone (503) 542-7635

National Provider Directory

National Provider Directory

Locations

32 NE 11th Ave
Portland, OR 97232
Phone (503) 542-7635

325 NW 21st Ave
Ste 100
Portland, OR 97209
Phone (503) 647-4297

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1043649080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NE 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323001",
            "telephone_number": "503-542-7635",
            "fax_number": "503-296-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 NE 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323001",
            "telephone_number": "503-542-7635",
            "fax_number": "503-296-2262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923-927 NE Couch St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972323001",
            "country_code": "US",
            "telephone_number": "503-542-7635",
            "fax_number": "503-296-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NW ANXIETY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "BONIFAY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "503-679-9435",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2836",
            "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 Mar 8, 2023; 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.