Lizzet Del Carmen Cervantes Pantoja

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

14025 SW Farmington Rd Ste 160
Beaverton, OR 97005-2512

Phone

(503) 258-4495

NPI assigned

Nov 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Morrison Child and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1346382975
  NPD (past)

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1184261935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202553",
            "telephone_number": "503-258-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14025 SW FARMINGTON RD STE 160",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052512",
            "telephone_number": "503-258-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES PANTOJA",
        "first_name": "LIZZET",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lee Cellini, MS, CF-SLP
• James Joseph Cenova, PT
• Centennial Medical Equipment Inc (Rotech)
• Center for Behavioral Invervention Inc.
• Ismael Alejandro Cerpa-Huerta, LMT
• Hadassah Cesarretti, LPN
• Michelle Chagnon, RDH
• Sha'Am A Chalati
• Bethany L Chamberlin, PH.D.
• Jacquenette Jocelyn Chambers, DNP, ACNS-BC

• Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.