Active NPI
Ashley N Lanehurst, PHD
- Psychologist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3507
- Practice address
- 9205 SW Barnes Rd Ste Mt2800
Portland, OR 97225-6603 - Phone
- (503) 216-2621
- NPI assigned
- Apr 29, 2020
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 38481 | TX | |
| Psychologist | 103T00000X | 3507 | OR | Primary |
Addresses
Primary practice location
9205 SW Barnes Rd Ste Mt2800
Portland, OR 97225-6603
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
2450 Fondren Rd
Houston, TX 77063-2318
Phone (281) 206-4358
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9205 SW Barnes Rd
Suite 2800
Portland, OR 97225-6603
Phone (503) 216-2621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3507 | OR | MD | Psychologist |
| 38481 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Sondermind, P.a. | Psychologist | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9205 SW Barnes Rd
Ste MT2800
Portland, OR 97225
Phone (503) 216-2621
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
Organizations & group practices 7
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.
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
OR
-
dba Providence Medical Group
- Child & Adolescent Psychiatry Physician
- Portland, OR
- NPI 1295105518
-
dba Prov St. Vincent Medical Ctr
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
dba Providence Medical Group
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1083235105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 SW BARNES RD STE MT2800",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256603",
"telephone_number": "503-216-2621"
}
],
"practiceLocations": [
{
"address_1": "2450 Fondren Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770632318",
"country_code": "US",
"telephone_number": "281-206-4358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANEHURST",
"first_name": "ASHLEY",
"middle_name": "N",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-29",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "38481",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3507",
"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 Apr 26, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.