NPIMap

Organization Active NPI

Youth Contact, Inc

  • Mental Health Counselor
  • Hillsboro, OR
National Provider Identifier
1124113527
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
YOUTH CONTACT, INC
Practice address
447 SE Baseline St
Hillsboro, OR 97123-4103
Phone
(503) 640-4222
Fax
(503) 640-0334
NPI assigned
Oct 3, 2006
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Judy R Harris, MSW, LCSWNPI 1821368069
Title
Executive Director
Phone
(503) 640-4222

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X OR Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

447 SE Baseline St
Hillsboro, OR 97123-4103

Mailing address

447 SE Baseline St
Hillsboro, OR 97123-4103
Phone (503) 640-4222

Other identifiers 1

IdentifierTypeStateIssuer
046198MedicaidOR

National Provider Directory

National Provider Directory

Locations

447 SE Baseline St
Hillsboro, OR 97123
Phone (503) 640-0334

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1124113527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 SE BASELINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234103",
            "telephone_number": "503-640-4222",
            "fax_number": "503-640-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 SE BASELINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234103",
            "telephone_number": "503-640-4222",
            "fax_number": "503-640-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CONTACT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-640-4222",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046198",
            "state": "OR"
        }
    ],
    "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 May 10, 2017; 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.