Individual provider Active NPI

Gemma Escale-Presague, LPC

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1205154333
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2809 Issued in OR
Practice address
4537 SW 96TH Ave
Beaverton, OR 97005-3329
Phone
(503) 376-9520
Fax
(971) 223-0903
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2809 OR Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

4537 SW 96TH Ave
Beaverton, OR 97005-3329

Mailing address

PO Box 1473
Beaverton, OR 97075
Phone (503) 893-4139

Other identifiers 1

IdentifierTypeStateIssuer
500704467MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@barcelonacounseling.org Direct

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
I20260329000074 OR Practitioner - Mental Health Counselor 4880178359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 1473
Beaverton, OR 97075-1473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2809ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barcelona Counseling, LLC Mental Health CurrentSince Dec 6, 2022 Accepting new patients

Locations

10445 SW Canyon Rd
Ste 119B
Beaverton, OR 97005
Phone (503) 376-9520

4537 SW 96th Ave
Beaverton, OR 97005
Phone (503) 376-9520

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1205154333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1473",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97075",
            "telephone_number": "503-893-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 SW 96TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053329",
            "telephone_number": "503-376-9520",
            "fax_number": "971-223-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALE-PRESAGUE",
        "first_name": "GEMMA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2809",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500704467",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@barcelonacounseling.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4537 SW 96th Ave",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970053329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.