Individual provider Active NPI

Anjabeen Ashraf, PHD

  • Counselor
  • Hillsboro, OR
National Provider Identifier
1114450608
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C5813 Issued in OR
Practice address
1915 NE Stucki Ave
Suite 308
Hillsboro, OR 97006
Phone
(541) 286-5207
NPI assigned
Apr 11, 2017
Last updated
Dec 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH61069246 WA
Counselor 101Y00000X C5813 OR Primary

Addresses

Primary practice location

1915 NE Stucki Ave
Suite 308
Hillsboro, OR 97006

Mailing address

2373 NW 185TH Ave # 635
Hillsboro, OR 97124-7076
Phone (541) 286-5207

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C5813ORMDCounselor
LH61069246WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Counseling, LLC Counselor Current Accepting new patients

Locations

1915 NE Stucki Ave
Ste 308
Hillsboro, OR 97006
Phone (541) 203-3425

2373 NW 185th Ave
Hillsboro, OR 97124
Phone (503) 330-7398

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1114450608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 NW 185TH AVE # 635",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247076",
            "telephone_number": "541-286-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE",
            "address_2": "SUITE 308",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "541-286-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHRAF",
        "first_name": "ANJABEEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH61069246",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C5813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.