Individual provider Active NPI

Angelica Nenchev, LPC, CADC I

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1144846916
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9113 Issued in OR
Practice address
917 SW Oak St Ste 417
Portland, OR 97205-2807
Phone
(503) 208-6158
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X C9113 OR Primary

Addresses

Primary practice location

917 SW Oak St Ste 417
Portland, OR 97205-2807

Mailing address

917 SW Oak St Ste 417
Portland, OR 97205-2807
Phone (503) 208-6158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 23, 2025 through Oct 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C9113ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hazelden Betty Ford Foundation PastSince Apr 1, 2023 Accepting new patients
Volunteers of America Inc. PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1144846916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SW OAK ST STE 417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052807",
            "telephone_number": "503-208-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SW OAK ST STE 417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052807",
            "telephone_number": "503-208-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENCHEV",
        "first_name": "ANGELICA",
        "credential": "LPC, CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.