NPIMap

Individual provider Active NPI

Grace Horowitz

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1134580111
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1219 SE Lafayette St Ste 100
Portland, OR 97202-3802
Phone
(503) 765-5733
Fax
(971) 244-8583
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1219 SE Lafayette St Ste 100
Portland, OR 97202-3802

Mailing address

1219 SE Lafayette St Ste 100
Portland, OR 97202-3802
Phone (503) 765-5733

Other practice location 1

707 NE Couch St
Portland, OR 97232-2922
Phone (503) 542-4603

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

Practice roles

OrganizationSpecialtyStatusNew patients
Janus Youth Programs, Inc. Past Accepting new patients
Janus Youth Programs Past Accepting new patients
Full Spectrum Therapy LLC PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1134580111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SE LAFAYETTE ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023802",
            "telephone_number": "503-765-5733",
            "fax_number": "971-244-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SE LAFAYETTE ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023802",
            "telephone_number": "503-765-5733",
            "fax_number": "971-244-8583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 NE Couch St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322922",
            "country_code": "US",
            "telephone_number": "503-542-4603",
            "fax_number": "503-233-6093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Sep 1, 2021; 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.