Joseph Alan Waiczis, MA, LPC, CADCI

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4837 Issued in OR

Practice address

10564 SE Washington St
Portland, OR 97216-2809

Phone

(503) 228-9229

NPI assigned

Sep 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Volunteers of America Inc.

  dba Volunteers Of America Of Oregon Inc.

  • Contractor
  • Portland, OR
  • NPI 1376611418
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1245632215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15411 SE MILL PLAIN BLVD",
            "address_2": "C-11",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848998",
            "telephone_number": "360-213-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 SE WASHINGTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162809",
            "telephone_number": "503-228-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAICZIS",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "credential": "MA, LPC, CADCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Wahl
• Mark John Wahle, M.D.
• Lorinda C. Wahto, M.D.
• Thet Wai
• Dana Eve Waichunas, N.D.
• Erin E Waid, FNP, DMD
• Elizabeth M Waiguchu Jackson, PHARMD, RPH
• Godfrey Wainaina
• Samone Marie Wainright
• Juliette Louise Wait, MD

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.