Juan Pablo Villalobos Sr., PSS,CRM,CADC-R

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T-23-2785 Issued in OR

Practice address

398 NW 183Rd Ave # 398
Beaverton, OR 97006-3410

Phone

(971) 222-6155

NPI assigned

Aug 28, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1326823402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 NW 183RD AVE # 398",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063410",
            "telephone_number": "971-222-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 NW 183RD AVE # 398",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063410",
            "telephone_number": "971-222-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PSS,CRM,CADC-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-23-2785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arianna Villanueva Navarro
• Hazel Tordesillas Villarosa
• Natalie Gabrielle Villarreal
• Kandice Vinson, ATC
• Andrea Q Vintro, MS, RD, CSSD, LD

• Addiction (Substance Use Disorder) Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.