Active NPI
Judith B Ros, LPC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1194004705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CO243
- Practice address
- 516 SE Morrison St
Suite 530
Portland, OR 97214-2327 - Phone
- (503) 279-8160
- Fax
- (503) 239-0028
- NPI assigned
- Aug 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CO243 | OR | Primary |
Addresses
Primary practice location
516 SE Morrison St
Suite 530
Portland, OR 97214-2327
Mailing address
516 SE Morrison St
Suite 530
Portland, OR 97214-2327
Phone (503) 279-8160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205992766 | Other | TAX ID NMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO243 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1194004705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 SE MORRISON ST",
"address_2": "SUITE 530",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142327",
"telephone_number": "503-279-8160",
"fax_number": "503-239-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 SE MORRISON ST",
"address_2": "SUITE 530",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142327",
"telephone_number": "503-279-8160",
"fax_number": "503-239-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROS",
"first_name": "JUDITH",
"middle_name": "B",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-12",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "CO243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID NMBER",
"identifier": "205992766",
"state": null
}
],
"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 Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.