Active NPI
Alicia J. Palmer
- Professional Counselor
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5120
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5120 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Mental Health | Current | 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.
-
- Clinical Psychologist
- Eugene, OR
- NPI 1316717747
-
- Professional Counselor
- Portland, OR
- NPI 1710711080
Mental Health
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
-
- Psychiatric/Mental Health Nurse Practitioner
- Eugene, OR
- NPI 1295065530
Professional
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.