Active NPI
Bradley E Sigafoose, LPC
- Professional Counselor
- Tigard, OR
National Provider Identifier
1346531407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4852
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C3392 | OR | MD | Counselor |
| 5862-125 | WI | MD | Mental Health Counselor |
| 6401012431 | MI | MD | Professional Counselor |
| C4852 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adult Mental Health Clinic/Center
- Tigard, OR
- NPI 1952844367
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.