Active NPI
Marylee Rosenstein, LCPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1275674954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC3487
- Practice address
- 70 NE Fargo St
Portland, OR 97212-2019 - Phone
- (207) 415-0055
- Fax
- (888) 765-8406
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C8901 | OR | |
| Professional Counselor | 101YP2500X | CC3487 | ME | Primary |
Addresses
Primary practice location
70 NE Fargo St
Portland, OR 97212-2019
Mailing address
70 NE Fargo St
Portland, OR 97212-2019
Phone (207) 415-0055
Other names 1
- Marylee Bennison
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC3487 | ME | MD | Professional Counselor |
| C8901 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1275674954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 NE FARGO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972122019",
"telephone_number": "207-415-0055",
"fax_number": "888-765-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 NE FARGO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972122019",
"telephone_number": "207-415-0055",
"fax_number": "888-765-8406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENSTEIN",
"first_name": "MARYLEE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C8901",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC3487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARYLEE",
"last_name": "BENNISON",
"credential": "LCPC",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.