Active NPI
Simone Anna Crothers, M.A.
- Counselor
- Tigard, OR
National Provider Identifier
1245403575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 11900 SW Greenburg Rd
Tigard, OR 97223 - Phone
- (503) 620-5556
- NPI assigned
- Apr 8, 2008
- Last updated
- Nov 6, 2018
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
11900 SW Greenburg Rd
Tigard, OR 97223
Mailing address
11900 SW Greenburg Rd
Tigard, OR 97223-6453
Phone (503) 620-5556
Other practice location 1
3720 SW 141st Ave Ste 204
Beaverton, OR 97005-2349
Phone (503) 352-3260
Other practice location 2
3720 SW 141st Ave Ste 204
Beaverton, OR 97005-2349
Phone (503) 352-3260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Other Me | Past | Accepting new patients | |
| Cynthia Gulick, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southwest Family Physicians
- Family Medicine Physician
- Tigard, OR
- NPI 1467675009
-
- Gynecology Physician
- Portland, OR
- NPI 1801462080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1245403575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 SW GREENBURG RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236453",
"telephone_number": "503-620-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 SW GREENBURG RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-620-5556"
}
],
"practiceLocations": [
{
"address_1": "3720 SW 141st Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970052349",
"country_code": "US",
"telephone_number": "503-352-3260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3720 SW 141st Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970052349",
"country_code": "US",
"telephone_number": "503-352-3260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROTHERS",
"first_name": "SIMONE",
"middle_name": "ANNA",
"name_prefix": "Miss",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.