Active NPI
Scout Northway, MA
- Mental Health Counselor
- Gresham, OR
National Provider Identifier
1073275079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 765 SE Mount Hood Hwy Apt 231
Gresham, OR 97080-7109 - Phone
- (503) 833-2846
- NPI assigned
- Oct 7, 2021
- Last updated
- Oct 7, 2021
- 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 | NU | Primary | |
| Professional Counselor | 101YP2500X | NU |
Addresses
Primary practice location
765 SE Mount Hood Hwy Apt 231
Gresham, OR 97080-7109
Mailing address
765 SE Mount Hood Hwy Apt 231
Gresham, OR 97080-7109
Phone (503) 833-2846
Other practice location 1
3615 NE Grand Ave
Portland, OR 97212-2104
Phone (503) 833-2846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owls Nest North Therapy Joint | Mental Health | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1073275079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 SE MOUNT HOOD HWY APT 231",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970807109",
"telephone_number": "503-833-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 SE MOUNT HOOD HWY APT 231",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970807109",
"telephone_number": "503-833-2846"
}
],
"practiceLocations": [
{
"address_1": "3615 NE Grand Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972122104",
"country_code": "US",
"telephone_number": "503-833-2846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTHWAY",
"first_name": "SCOUT",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
- Dafna Sharon Noam, OTR/L
- Luke Noble, DDS
- Timothy O. Noreuil, MD
- Audra Rachelle Norris-Jacob, MD
- Northland Hearing Centers, Inc (Willoughby Hearing Aid Centers)
- Northwest Extremity Specialists
- Northwest Oral & Maxillofacial Surgeons, LLC
- Northwest Oral and Maxillofacial Surgeons (Beacon Oral and Maxillofacial Surgeons)
- Northwest Serenity LLC
- Caz H Novak, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.