Active NPI
Tierney Hodge, MED, MA
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1073285946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- R7822
- Practice address
- 4531 SE Belmont St Ste 102
Portland, OR 97215-1675 - Phone
- (503) 334-2533
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG61200403 | WA | |
| Marriage & Family Therapist | 106H00000X | R7822 | OR | Primary |
Addresses
Primary practice location
4531 SE Belmont St Ste 102
Portland, OR 97215-1675
Mailing address
PO Box 33644
Portland, OR 97292-3644
Phone (503) 334-2533
Other practice location 1
6118 SE Belmont St Ste 406
Portland, OR 97215-1983
Phone (503) 334-2533
Other practice location 2
17250 NE Lewis Rogers Ln
Newberg, OR 97132-6581
Phone (503) 334-2533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61200403 | WA | MD | Counselor |
| R7822 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/family-solutions/r4/
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.
-
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1831258995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1073285946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33644",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972923644",
"telephone_number": "503-334-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4531 SE BELMONT ST STE 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151675",
"telephone_number": "503-334-2533"
}
],
"practiceLocations": [
{
"address_1": "6118 SE Belmont St Ste 406",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972151983",
"country_code": "US",
"telephone_number": "503-334-2533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17250 NE Lewis Rogers Ln",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971326581",
"country_code": "US",
"telephone_number": "503-334-2533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODGE",
"first_name": "TIERNEY",
"credential": "MED, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2022-12-09",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG61200403",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "R7822",
"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 Dec 9, 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.