Organization Active NPI

Blake Locher Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1174023808
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
R3805 Issued in OR
Legal business name
BLAKE LOCHER COUNSELING, LLC
Practice address
1020 SW Taylor St Ste 449
Portland, OR 97205-2556
Phone
(971) 279-7484
NPI assigned
Feb 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Blake Wayson Locher, MS, CRC, LPCINPI 1598171670
Title
Therapist
Phone
(971) 279-7484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X R3805 OR Primary

Addresses

Primary practice location

1020 SW Taylor St Ste 449
Portland, OR 97205-2556

Mailing address

1020 SW Taylor St Ste 449
Portland, OR 97205-2556

National Provider Directory

National Provider Directory

Locations

1020 SW Taylor St
Ste 449
Portland, OR 97205
Phone (503) 936-0191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1174023808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 449",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 449",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052556",
            "telephone_number": "971-279-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE LOCHER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "LOCHER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "WAYSON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "971-279-7484",
        "authorized_official_credential": "MS, CRC, LPCI"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "R3805",
            "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 Feb 19, 2018; 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.