Charlotte Heesacker Cheney, LPC ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R7900 Issued in OR

Practice address

2950 SE Stark St Ste 130
Portland, OR 97214-3082

Phone

(971) 270-0167

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tiffany Kettermann, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1003461740
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1043942873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 SE WASHINGTON ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234023",
            "telephone_number": "971-238-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SE STARK ST STE 130",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143082",
            "telephone_number": "971-270-0167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 SE Washington St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234023",
            "country_code": "US",
            "telephone_number": "971-238-4408 x501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENEY",
        "first_name": "CHARLOTTE",
        "middle_name": "HEESACKER",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R7900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlotte@healthalliescounseling.com",
            "affiliation": "N",
            "address_1": "2950 SE Stark St Ste 130",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972143082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zheyan Chen, M.D., PH.D.
• Zhong Bin Chen, MD
• Zixian Chen
• Chen'S Acupuncture Center, P.C.
• Traci Chenette, LCSW
• Nathaniel Bryce Cheney, MD
• Thomas Cheney
• Allen C Cheng, MD, DDS
• Anthony Ming Cheng, M.D.
• Baoxin Cheng

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.