Organization Active NPI

Our Inner Landscape

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1346792231
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4280 Issued in OR
Legal business name
OUR INNER LANDSCAPE
Practice address
4333 SE 35TH Ave
Portland, OR 97202-3317
Phone
(503) 729-5790
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Ivy Katz, LPCNPI 1508183096
Title
Clinical Mental Health Counselor
Phone
(503) 729-5790

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 C4280 OR Primary

Addresses

Primary practice location

4333 SE 35TH Ave
Portland, OR 97202-3317

Mailing address

2305 SE 50TH Ave
Portland, OR 97215-3853
Phone (503) 729-5790

National Provider Directory

National Provider Directory

Locations

2305 SE 50th Ave
Portland, OR 97215
Phone (510) 684-5589

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1346792231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153853",
            "telephone_number": "503-729-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 SE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023317",
            "telephone_number": "503-729-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR INNER LANDSCAPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "503-729-5790",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4280",
            "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 Oct 26, 2016; 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.