Integrated Self Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

INTEGRATED SELF COUNSELING LLC

Practice address

1020 SW Taylor St Ste 440
Portland, OR 97205-2550

Phone

(503) 461-6355

Fax

(503) 386-3318

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Shahin Karimbeik

Title

Owner

Phone

(503) 461-6355

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1235984352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 440",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052550",
            "telephone_number": "503-461-6355",
            "fax_number": "503-386-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 440",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052550",
            "telephone_number": "503-461-6355",
            "fax_number": "503-386-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SELF COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "KARIMBEIK",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-461-6355"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.