Individual provider Active NPI

Linda Kay Berlingen, LPC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1184862955
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2120 Issued in OR
Practice address
3434 S Kelly Ave
Portland, OR 97239-4630
Phone
(503) 309-1734
NPI assigned
Feb 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2120 OR Primary

Addresses

Primary practice location

3434 S Kelly Ave
Portland, OR 97239-4630

Mailing address

3434 SW Kelly Ave
Portland, OR 97239-4630
Phone (503) 309-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002518 OR Practitioner - Mental Health Counselor 0143752303 Receives reassigned benefits from 4 practitioners
Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3434 S Kelly Ave
Portland, OR 97239-4630
Phone 50390830129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2120ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rose City Therapists LLC Professional CurrentSince Mar 1, 2021 Accepting new patients

Locations

3434 S Kelly Ave
Portland, OR 97239
Phone (503) 248-9684

Practitioners & affiliated clinicians

Practitioners 4

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

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": "1233446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1184862955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 SW KELLY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394630",
            "telephone_number": "503-309-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 S KELLY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394630",
            "telephone_number": "503-309-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLINGEN",
        "first_name": "LINDA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-01",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.