Grace Willson Cantor, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

443 NE Knott St
Knott Street Health Center
Portland, OR 97212-3108

Phone

(503) 894-0547

NPI assigned

Sep 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Grace Elizabeth Willson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1295984441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "address_2": "KNOTT STREET HEALTH CENTER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123108",
            "telephone_number": "503-894-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "address_2": "KNOTT STREET HEALTH CENTER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123108",
            "telephone_number": "503-894-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTOR",
        "first_name": "GRACE",
        "middle_name": "WILLSON",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "WILLSON",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Canterbury Crest, Inc.
• Christopher Jordan Cantino, AAS
• Daniel Murray Canto, LMT
• Kimberly Cantonwine, M.A.
• Amy Gabrielle Cantor, MD
• Taylor Lafe Cantrall
• Amanda Nicole Cantu
• Annette Lynn Cantu, PHD
• Destiny Cantu
• Hillary Cantu

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.