Active NPI
Lisa Marie Obrien, MS, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1215214978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3672
- Practice address
- 2100 NE Broadway St
Suite 323
Portland, OR 97232-1569 - Phone
- (503) 915-1082
- NPI assigned
- Nov 9, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3672 | OR | Primary |
Addresses
Primary practice location
2100 NE Broadway St
Suite 323
Portland, OR 97232-1569
Mailing address
6945 NE 13TH Ave
Portland, OR 97211-4022
Phone (503) 333-9301
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3615 NE Grand Ave
Portland, OR 97212-2104
6945 NE 13TH Ave
Portland, OR 97211-4022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3672 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owls Nest North Therapy Joint | Counselor | Current | Accepting new patients |
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": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1215214978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6945 NE 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972114022",
"telephone_number": "503-333-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NE BROADWAY ST",
"address_2": "SUITE 323",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321569",
"telephone_number": "503-915-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3672",
"primary": true
}
],
"identifiers": [],
"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 Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.