Individual provider Active NPI

Alicia J. Palmer

  • Professional Counselor
  • Beaverton, OR
National Provider Identifier
1215314059
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5120 Issued in OR
Practice address
8285 SW Nimbus Ave Ste 130
Beaverton, OR 97008-6428
Phone
(503) 610-2044
Fax
(503) 296-2101
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 C5120 OR Primary

Addresses

Primary practice location

8285 SW Nimbus Ave Ste 130
Beaverton, OR 97008-6428

Mailing address

8285 SW Nimbus Ave Ste 130
Beaverton, OR 97008-6428
Phone (503) 610-2044

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
I20250123001378 OR Practitioner - Mental Health Counselor 7810426608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5120ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Nov 15, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Mental Health CurrentSince Nov 15, 2024 Accepting new patients
University Professional Services Past Accepting new patients
Eugene Therapy LLC Professional Past Accepting new patients
University Professional Services Past Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

8285 SW Nimbus Ave
Ste 130
Beaverton, OR 97008
Phone (503) 610-2044

8505 SW Creekside Pl
Beaverton, OR 97008
Phone (503) 316-6770

399 E 10th Ave
Eugene, OR 97401
Phone (541) 868-2004

1306 NW Hoyt St
Ste 407
Portland, OR 97209
Phone (971) 407-3930

2925 River Rd S
Ste 250
Salem, OR 97302
Phone (503) 371-1970

Organizations & group practices 6

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1215314059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 130",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086428",
            "telephone_number": "503-610-2044",
            "fax_number": "503-296-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 130",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086428",
            "telephone_number": "503-610-2044",
            "fax_number": "503-296-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ALICIA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.