Individual provider Active NPI

Tierney Hodge, MED, MA

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1073285946
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R7822 Issued in OR
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

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CG61200403WAMDCounselor
R7822ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions, Inc PastSince Oct 1, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.