Victor Counseling and Consultation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VICTOR COUNSELING AND CONSULTATION

Practice address

888 SE 9TH Ave Apt 420
Portland, OR 97214-2250

Phone

(971) 940-0387

NPI assigned

Oct 28, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor Boomer-Jenks, LCSWNPI 1760891014

Title

Owner

Phone

(971) 940-0387

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Boomer-Jenks, LCSW; LICSW;

  • Clinical Social Worker
  • Portland, OR
  • NPI 1760891014

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1326860628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 SE 9TH AVE APT 420",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142250",
            "telephone_number": "971-940-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 SE 9TH AVE APT 420",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142250",
            "telephone_number": "971-940-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "BOOMER-JENKS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-940-0387",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlee Fay Vickers
• Edythe Marsh Vickers, ND,LAC
• Lynaudry Vickers, PMHNP
• Stephanie Joy Vickers
• Vicky Brooks LLC
• Victor N Takla MD LLC
• Timothy Victorella
• Victoria a. Collins, DC, PC
• Vida Chiropractic and Wellness, LLC
• Vida Massage, LLC (Vida Wellness)

• 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 Nov 11, 2024; 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.