Active NPI
Haven Lewis
- Counselor
- Milwaukie, OR
National Provider Identifier
1093563371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R8987
- Practice address
- 6400 SE Lake Rd Ste 250
Milwaukie, OR 97222-2129 - Phone
- (541) 900-4285
- NPI assigned
- May 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | R8987 | OR | Primary |
Addresses
Primary practice location
6400 SE Lake Rd Ste 250
Milwaukie, OR 97222-2129
Mailing address
4986 SE Lincoln St
Portland, OR 97215-3843
Phone (609) 706-2761
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8987 | OR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseburg Therapy LLC | Past | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Roseburg, OR
- NPI 1538665013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1093563371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4986 SE LINCOLN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972153843",
"telephone_number": "609-706-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 SE LAKE RD STE 250",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972222129",
"telephone_number": "541-900-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "HAVEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "R8987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.