Active NPI
Brittany Boney Weiner, MS, LMFT
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1245635614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60520041
- Practice address
- 5200 SW Macadam Ave
Suite 580
Portland, OR 97239-6103 - Phone
- (253) 277-7483
- NPI assigned
- Oct 28, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1049 | OR | |
| Marriage & Family Therapist | 106H00000X | LF60520041 | WA | Primary |
Addresses
Primary practice location
5200 SW Macadam Ave
Suite 580
Portland, OR 97239-6103
Mailing address
15609 10TH Ave SW
Burien, WA 98166-2109
Phone (206) 491-6154
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1049 | OR | MD | Marriage & Family Therapist |
| LF60520041 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1245635614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15609 10TH AVE SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981662109",
"telephone_number": "206-491-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 SW MACADAM AVE",
"address_2": "SUITE 580",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396103",
"telephone_number": "253-277-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "BRITTANY",
"middle_name": "BONEY",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1049",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60520041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.