Active NPI
Gregory Maloof, LPC
- Counselor
- Portland, OR
National Provider Identifier
1346656196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C6201
- Practice address
- 6536 SE Duke St # 5
Portland, OR 97206-6665 - Phone
- (503) 875-4749
- NPI assigned
- Jul 1, 2014
- Last updated
- Nov 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C6201 | OR | Primary |
Addresses
Primary practice location
6536 SE Duke St # 5
Portland, OR 97206-6665
Mailing address
4207 SE Woodstock Blvd # 145
Portland, OR 97206-6267
Phone (503) 875-4749
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6201 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700956800000",
"number": "1346656196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 SE WOODSTOCK BLVD # 145",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066267",
"telephone_number": "503-875-4749",
"fax_number": "877-835-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6536 SE DUKE ST # 5",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066665",
"telephone_number": "503-875-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOOF",
"first_name": "GREGORY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-01",
"last_updated": "2023-11-26",
"certification_date": "2023-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "C6201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.