NPIMap

Organization Active NPI

Family Ties Counseling Center

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1346667565
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3076 Issued in OR
Legal business name
FAMILY TIES COUNSELING CENTER
Practice address
333 S Flower St
Portland, OR 97239-3797
Phone
(503) 349-2281
Fax
(503) 719-8987
NPI assigned
Mar 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Johanna Manalis, LMFTNPI 1346487030
Title
Owner/Director
Phone
(503) 867-1817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C3076 OR Primary

Addresses

Primary practice location

333 S Flower St
Portland, OR 97239-3797

Mailing address

333 S Flower St
Portland, OR 97239-3797
Phone (503) 349-2281

Other practice location 1

3636 SW Troy St
Portland, OR 97219-1662
Phone (503) 349-2281

National Provider Directory

National Provider Directory

Locations

0333 SW Flower St
Portland, OR 97239
Phone (503) 349-2281

333 S Flower St
Portland, OR 97239
Phone (503) 349-2281

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1346667565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S FLOWER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393797",
            "telephone_number": "503-349-2281",
            "fax_number": "503-719-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S FLOWER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393797",
            "telephone_number": "503-349-2281",
            "fax_number": "503-719-8987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 SW Troy St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972191662",
            "country_code": "US",
            "telephone_number": "503-349-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY TIES COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MANALIS",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "503-867-1817",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3076",
            "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 Jul 30, 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.