Active NPI
Thomas J O'Leary III, LPC
- Professional Counselor
- Beaverton, OR
National Provider Identifier
1275810715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3432
- Practice address
- 15985 NW Schendel Ave Ste 230
Beaverton, OR 97006-6734 - Phone
- (503) 893-2552
- NPI assigned
- Nov 11, 2011
- Last updated
- May 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3432 | OR | Primary |
Addresses
Primary practice location
15985 NW Schendel Ave Ste 230
Beaverton, OR 97006-6734
Mailing address
15985 NW Schendel Ave Ste 230
Beaverton, OR 97006-6734
Phone (503) 893-2552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 12, 2025 through Jun 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3432 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1275810715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15985 NW SCHENDEL AVE STE 230",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066734",
"telephone_number": "503-893-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15985 NW SCHENDEL AVE STE 230",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066734",
"telephone_number": "503-893-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-11",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.