Korel Ponti-Foss, M.A., LMFT, ATR

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1102 Issued in OR

Practice address

5932 NE Glisan St
Portland, OR 97213-3754

Phone

(503) 956-6133

NPI assigned

Dec 18, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Phoenix Therapies LLC

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1326582412
  NPD (past) Authorized official

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1285970327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 SE STARK ST",
            "address_2": "SUITE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152357",
            "telephone_number": "503-956-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5932 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133754",
            "telephone_number": "503-956-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTI-FOSS",
        "first_name": "KOREL",
        "credential": "M.A., LMFT, ATR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Ponsetto, MD
• Momoko Ponsetto, MD
• Azlen Ponte
• Amy Kathleen Keucher Ponteri, MA, ATR-BC, LPC, LCA
• Tinamarie Pontes
• Patricia Ponti-Foss
• Joshua Ford Pontier
• Judith Irene Pontius, LMT
• Rebecca Kathleen Pontius
• Susan Ann Ponton, LCSW

• Marriage & Family Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.