Individual provider Active NPI

Bradley E Sigafoose, LPC

  • Professional Counselor
  • Tigard, OR
National Provider Identifier
1346531407
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C4852 Issued in OR
Practice address
7320 SW Hunziker Rd Ste 204
Tigard, OR 97223-2301
Phone
(971) 222-8166
Fax
(866) 802-8062
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C3392 OR
Mental Health Counselor 101YM0800X 5862-125 WI
Professional Counselor 101YP2500X 6401012431 MI
Professional Counselor 101YP2500X C4852 OR Primary

Addresses

Primary practice location

7320 SW Hunziker Rd Ste 204
Tigard, OR 97223-2301

Mailing address

7320 SW Hunziker Rd Ste 204
Tigard, OR 97223-2301
Phone (971) 222-8166

Other practice location 1

300 Femrite Dr
Monona, WI 53716-3716
Phone (608) 222-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 11, 2024 through Jan 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C3392ORMDCounselor
5862-125WIMDMental Health Counselor
6401012431MIMDProfessional Counselor
C4852ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Counseling Past Accepting new patients

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1346531407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 204",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232301",
            "telephone_number": "971-222-8166",
            "fax_number": "866-802-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 204",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232301",
            "telephone_number": "971-222-8166",
            "fax_number": "866-802-8062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Femrite Dr",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537163716",
            "country_code": "US",
            "telephone_number": "608-222-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIGAFOOSE",
        "first_name": "BRADLEY",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C3392",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5862-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012431",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.