Individual provider Active NPI

Heather Marie Vliet, LPC

  • Professional Counselor
  • Beaverton, OR
National Provider Identifier
1295065704
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2470 Issued in OR
Practice address
4900 SW Griffith Dr Ste 257
Beaverton, OR 97005-5607
Phone
(503) 869-4071
Fax
(503) 295-4036
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2470 OR Primary

Addresses

Primary practice location

4900 SW Griffith Dr Ste 257
Beaverton, OR 97005-5607

Mailing address

4900 SW Griffith Dr Ste 257
Beaverton, OR 97005-5607
Phone (503) 869-4071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731004361 OR Practitioner - Mental Health Counselor 3678081726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Counseling Associates, LLC CurrentSince Mar 12, 2025 Accepting new patients

Locations

4900 SW Griffith Dr
Ste 157
Beaverton, OR 97005
Phone (503) 444-8230

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1295065704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 257",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970055607",
            "telephone_number": "503-869-4071",
            "fax_number": "503-295-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 257",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970055607",
            "telephone_number": "503-869-4071",
            "fax_number": "503-295-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLIET",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.