Individual provider Active NPI

Auzadeh Harvey, LPC, LPCC, MS, NCC

  • Mental Health Counselor
  • North Plains, OR
National Provider Identifier
1336519420
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3919 Issued in OR
Practice address
10175 NW 312TH PL
North Plains, OR 97133-8246
Phone
(505) 681-4790
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0012530 CO
Mental Health Counselor 101YM0800X C3919 OR Primary
Mental Health Counselor 101YM0800X 0177381 NM

Addresses

Primary practice location

10175 NW 312TH PL
North Plains, OR 97133-8246

Mailing address

10175 NW 312TH PL
North Plains, OR 97133-8246
Phone (505) 681-4790

Other names 1

  • Auzadeh Bartholf Other name

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC.0012530COMDMental Health Counselor
0177381NMMDMental Health Counselor
C3919ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1336519420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 NW 312TH PL",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338246",
            "telephone_number": "505-681-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 NW 312TH PL",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338246",
            "telephone_number": "505-681-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "AUZADEH",
        "credential": "LPC, LPCC, MS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012530",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3919",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0177381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUZADEH",
            "last_name": "BARTHOLF",
            "credential": "LPC, LPCC, MS, NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Plains, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.