Active NPI
Fatim Affessi
- Professional Counselor
- Portland, OR
National Provider Identifier
1154199206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4035 NE Sandy Blvd Ste 240
Portland, OR 97212-5331 - Phone
- (971) 940-2601
- NPI assigned
- Dec 19, 2023
- Last updated
- Dec 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4035 NE Sandy Blvd Ste 240
Portland, OR 97212-5331
Mailing address
826 S 3Notch St Apt 318
Troy, AL 36081-2593
Phone (334) 492-0666
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 |
|---|---|---|---|
| Portland Neurofeedback, LLC | Current | Accepting new patients |
Locations
4035 NE Sandy Blvd
Ste 240
Portland, OR 97212
Phone (971) 940-2601
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": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1154199206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 S 3NOTCH ST APT 318",
"city": "TROY",
"state": "AL",
"postal_code": "360812593",
"telephone_number": "334-492-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 NE SANDY BLVD STE 240",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972125331",
"telephone_number": "971-940-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFFESSI",
"first_name": "FATIM",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
- Advocate Care LLC
- Elie Adwani, MD
- Sofia Aedo
- Abi Afework, RN
- David Afework, MD
- Affiliated Psychological Associates, Inc.
- Affinity Counseling and Consulting, LLC
- Affordable Care NW, LLC (Helping Hands Home Care)
- Affordable Care NW, LLC (Helping Hands Home Care)
- Affordable Health Care & Chiropractic Inc (OneMedical Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.