Jeremy Steenstrup Balthazar, ASSOCIATE LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R9043 Issued in OR

Practice address

7555 SW Hermoso Way Ste 120
Tigard, OR 97223-8684

Phone

(503) 345-3260

NPI assigned

Sep 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeremy Steenstrup Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Psychology & Wellness Group PDX LLC

  dba Psychology & Wellness Group PDX

  • Professional Counselor
  • Tigard, OR
  • NPI 1306315965
  NPD

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1174719108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 SW HERMOSO WAY STE 120",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 SW HERMOSO WAY STE 120",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238684",
            "telephone_number": "503-345-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENSTRUP BALTHAZAR",
        "first_name": "JEREMY",
        "credential": "ASSOCIATE LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "STEENSTRUP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Lee Stebbeds, LMT
• Jessica Steele-Thornborrow, PT, DPT
• Angelica Grace Steele
• Jenna Anne Steele
• Kristen Rose Steele, PT, DPT
• Rachel Stein
• Kim Linette Steineke
• Barbara M Steiner, RDH
• Scott Allen Steiner
• Trevor J Steiner, PA-C

• Mental Health Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.