Active NPI
Anne Wehrli, LPC
- Professional Counselor
- Gresham, OR
National Provider Identifier
1366535643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1794
- Practice address
- 1217 NE Burnside Rd
Building B, Ste 401
Gresham, OR 97030-6722 - Phone
- (503) 666-8832
- Fax
- (503) 669-8641
- NPI assigned
- Oct 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1794 | OR | Primary |
Addresses
Primary practice location
1217 NE Burnside Rd
Building B, Ste 401
Gresham, OR 97030-6722
Mailing address
PO Box 82819
Portland, OR 97282-0819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164936 | Medicaid | OR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1794 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.annewehrli@148835.advancedmd-direct.com
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.
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366535643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82819",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972820819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 NE BURNSIDE RD",
"address_2": "BUILDING B, STE 401",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970306722",
"telephone_number": "503-666-8832",
"fax_number": "503-669-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEHRLI",
"first_name": "ANNE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164936",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.