Individual provider Active NPI

Magdalena Avila Echenique

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1346902020
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7099 Issued in OR
Practice address
16110 SW Regatta LN
Beaverton, OR 97006-8942
Phone
(971) 317-6416
NPI assigned
Oct 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7099 OR Primary

Addresses

Primary practice location

16110 SW Regatta LN
Beaverton, OR 97006-8942

Mailing address

14082 NW Gargany St
Portland, OR 97229-1176
Phone (971) 317-6416

Other practice location 1

14082 NW Gargany St
Portland, OR 97229-1176
Phone (971) 317-6416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306001915 OR Practitioner - Mental Health Counselor 8123549128 Practice locations: Portland, OR; Beaverton, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7099ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Meanings Counseling LLC Mental Health CurrentSince Mar 26, 2023 Accepting new patients

Locations

16110 SW Regatta Ln
Beaverton, OR 97006
Phone (503) 617-6810

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": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1346902020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14082 NW GARGANY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972291176",
            "telephone_number": "971-317-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 SW REGATTA LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068942",
            "telephone_number": "971-317-6416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14082 NW Gargany St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972291176",
            "country_code": "US",
            "telephone_number": "971-317-6416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA ECHENIQUE",
        "first_name": "MAGDALENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "7099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.