Individual provider Active NPI

Alexis Wong, MS, NCC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1316420979
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1827 NE 44TH Ave Ste 310
Portland, OR 97213-1468
Phone
(503) 320-7136
Fax
(503) 776-7719
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1827 NE 44TH Ave Ste 310
Portland, OR 97213-1468

Mailing address

1827 NE 44TH Ave Ste 310
Portland, OR 97213-1468
Phone (503) 320-7136

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
I20260210002774 OR Practitioner - Mental Health Counselor 1355837758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1827 NE 44TH Ave
Suite 310
Portland, OR 97213-1468
Phone (503) 320-7136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Brittany Russ' Clinical Social Work and Therapy Services LLC Mental Health CurrentSince Nov 25, 2025 Accepting new patients

Locations

1827 NE 44th Ave
Ste 310
Portland, OR 97213
Phone (503) 298-4592

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1316420979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131468",
            "telephone_number": "503-320-7136",
            "fax_number": "503-776-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131468",
            "telephone_number": "503-320-7136",
            "fax_number": "503-776-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.