Individual provider Active NPI

Heather Leilani Simpson, MA

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1356004287
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
107 SE Washington St Ste 470
Portland, OR 97214-2198
Phone
(971) 599-1843
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X OR Primary

Addresses

Primary practice location

107 SE Washington St Ste 470
Portland, OR 97214-2198

Mailing address

107 SE Washington St Ste 470
Portland, OR 97214-2198
Phone (971) 599-1843

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mindfulinquirytherapy.clientsecure.me Direct

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1356004287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST STE 470",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142198",
            "telephone_number": "971-599-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST STE 470",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142198",
            "telephone_number": "971-599-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "HEATHER",
        "middle_name": "LEILANI",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mindfulinquirytherapy.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "EHR encrypted platform used, for direct communication, video services, billing and record keeping.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1550 SE 20th Ave Apt 315",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972144991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 18, 2021; 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.