Individual provider Active NPI

Maegan Carnew Megginson, MA, LMFT, LPC, CST

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1356777080
Registry record updated Jun 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202072 Issued in TX
Practice address
2923 NE Broadway St
Portland, OR 97232
Phone
(503) 941-0856
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2019

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 202072 TX Primary

Addresses

Primary practice location

2923 NE Broadway St
Portland, OR 97232

Mailing address

1601 NE Holman St
Portland, OR 97211-4851
Phone (832) 665-4640

Other practice location 1

4407 Deer Lodge Dr
Houston, TX 77018-1111
Phone (832) 665-4640

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

State licenses

LicenseStateTypeSpecialty
202072TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1356777080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NE HOLMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114851",
            "telephone_number": "832-665-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97232",
            "telephone_number": "503-941-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4407 Deer Lodge Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770181111",
            "country_code": "US",
            "telephone_number": "832-665-4640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEGGINSON",
        "first_name": "MAEGAN",
        "middle_name": "CARNEW",
        "credential": "MA, LMFT, LPC, CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202072",
            "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 Jun 9, 2019; 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.