NPIMap

Organization Active NPI

Therapy Experienced

  • Professional Counselor
  • Canby, OR
National Provider Identifier
1114495371
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THERAPY EXPERIENCED
Practice address
2350 SE Territorial Rd
Canby, OR 97013-9732
Phone
(503) 266-4444
Fax
(503) 266-7659
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Christina HostetlerNPI 1861977183
Title
LPC/Owner
Phone
(503) 266-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2350 SE Territorial Rd
Canby, OR 97013-9732

Mailing address

2350 SE Territorial Rd
Canby, OR 97013-9732
Phone (503) 266-4444

National Provider Directory

National Provider Directory

Locations

2350 SE Territorial Rd
Canby, OR 97013
Phone (503) 266-4444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1114495371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SE TERRITORIAL RD",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970139732",
            "telephone_number": "503-266-4444",
            "fax_number": "503-266-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SE TERRITORIAL RD",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970139732",
            "telephone_number": "503-266-4444",
            "fax_number": "503-266-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY EXPERIENCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "HOSTETLER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "503-266-4444"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.