Active NPI
Marta Olejniczak
- Counselor
- Portland, OR
National Provider Identifier
1144084724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3615 NE Grand Ave
Portland, OR 97212-2104 - Phone
- (503) 281-1166
- NPI assigned
- Feb 13, 2024
- Last updated
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
3615 NE Grand Ave
Portland, OR 97212-2104
Mailing address
1378 NW 18TH Ave Apt 620
Portland, OR 97209-2496
Other names 1
- MJ Olejniczak
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owls Nest North Therapy Joint | Counselor | Current | 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, 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": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1144084724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1378 NW 18TH AVE APT 620",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 NE GRAND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972122104",
"telephone_number": "503-281-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLEJNICZAK",
"first_name": "MARTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MJ",
"last_name": "OLEJNICZAK",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 13, 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.