NPIMap

Heather Garner Asaadi, M.A.

Individual provider Active NPI Professional Counselor · Portland, OR

NPI 1306248000 · NPPES record last updated Jul 26, 2019

Key facts

NPI
1306248000
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
C4454 (OR)
Practice address
224 NE 28TH Ave
Portland, OR 97232-3148
Phone
(503) 957-2544
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C4454ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Both-and Counseling Current
since Jul 28, 2019		 Accepting new patients

Locations

224 NE 28th Ave
Portland, OR 97232
Phone (503) 545-9192

1312 E Burnside St
Portland, OR 97214
Phone (503) 205-1669

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C4454 OR Yes

Addresses

Primary practice location

224 NE 28TH Ave
Portland, OR 97232-3148

Mailing address

PO Box 12154
Portland, OR 97212-0154
Phone (408) 250-3134

Other practice location 1

1312 E Burnside St
Portland, OR 97214-1424
Phone (503) 957-2544

Other practice location 2

847 NE 19th Ave Ste 100
Portland, OR 97232-2684
Phone (503) 238-0769

Other providers in Portland, OR

All providers in Portland, OR · Professional Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.