Active NPI
Maureen Schrenk
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1164902748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C3477
- Practice address
- 3419 NE Sandy Blvd
Portland, OR 97232-1959 - Phone
- (971) 319-4255
- NPI assigned
- Aug 14, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C3477 | OR | Primary |
Addresses
Primary practice location
3419 NE Sandy Blvd
Portland, OR 97232-1959
Mailing address
3419 NE Sandy Blvd
Portland, OR 97232-1959
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3477 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolve Therapy, LLC | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1164902748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321959",
"telephone_number": "971-319-4255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRENK",
"first_name": "MAUREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C3477",
"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 May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.