John Otts, LPC, CADCIII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

6600 SW 105TH Ave
Suite 120
Beaverton, OR 97008-8832

Phone

(503) 867-1259

Fax

(503) 867-1259

NPI assigned

Jun 25, 2015

Last updated

Apr 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mindtree Holistic Counseling & Wellness Center LLC

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1922692995

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1174905210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 SW PARK AVE",
            "address_2": "216",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013122",
            "telephone_number": "503-867-1259",
            "fax_number": "503-867-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SW 105TH AVE",
            "address_2": "SUITE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970088832",
            "telephone_number": "503-867-1259",
            "fax_number": "503-867-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTS",
        "first_name": "JOHN",
        "credential": "LPC, CADCIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Tressa Osterberg, DC
• Kim Osterberger, DPT
• Gary W Oswald, LAC
• Emily Ottinger
• Jeffery Otto, D.C.
• Bailey Ann Ouellette, P.T.
• Becky Renee Overbeck, M.D.
• Kevin Scott Overbeck, M.D.
• Alicia Owen, MSW
• Michael Owen, D.C.

• Addiction (Substance Use Disorder) Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.