NPIMap

Organization Active NPI

Christian Treatment Center for Attachment Trauma and Sexual Add LLC

Doing business as The Four Rivers

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1326353277
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C1901 Issued in OR
Legal business name
CHRISTIAN TREATMENT CENTER FOR ATTACHMENT TRAUMA AND SEXUAL ADD LLC
Doing business as
The Four Rivers
Practice address
9101 E Burnside St
Portland, OR 97216-1515
Phone
(503) 680-2478
Fax
(360) 891-5511
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Ms. Hannah Nicole Fischer, LPC,LMHC,MANPI 1336313907
Title
Mental Health Counselor/Owner
Phone
(503) 680-2478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C1901 OR Primary
Community/Behavioral Health Agency 251S00000X LH00010659 WA

Addresses

Primary practice location

9101 E Burnside St
Portland, OR 97216-1515

Mailing address

3731 SE 164TH Ave
Portland, OR 97236-1709
Phone (503) 680-2478

Other identifiers 1

IdentifierTypeStateIssuer
1336313907OtherORNPI # FOR HANNAH FISCHER COUNSELING INC

Other names 1

  • The Four Rivers Doing business as

National Provider Directory

National Provider Directory

Locations

9101 E Burnside St
Portland, OR 97216
Phone (503) 680-2478

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1326353277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 SE 164TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361709",
            "telephone_number": "503-680-2478",
            "fax_number": "360-891-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161515",
            "telephone_number": "503-680-2478",
            "fax_number": "360-891-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN TREATMENT CENTER FOR ATTACHMENT TRAUMA AND SEXUAL ADD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR/OWNER",
        "authorized_official_telephone_number": "503-680-2478",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC,LMHC,MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C1901",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LH00010659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # FOR HANNAH FISCHER COUNSELING INC",
            "identifier": "1336313907",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Four Rivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.