Active NPI
Nicole Marie Falk, LMFT
- Marriage & Family Therapist
- Beaverton, OR
National Provider Identifier
1366747636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1620
- Practice address
- 4900 SW Griffith Dr Ste 239
Beaverton, OR 97005-4649 - Phone
- (909) 284-4950
- Fax
- (909) 285-0564
- NPI assigned
- Jan 18, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT78339 | CA | |
| Marriage & Family Therapist | 106H00000X | T1620 | OR | Primary |
| Marriage & Family Therapist | 106H00000X | LF60694146 | WA |
Addresses
Primary practice location
4900 SW Griffith Dr Ste 239
Beaverton, OR 97005-4649
Mailing address
1110 SE Alder St Ste 301
Portland, OR 97214-2400
Phone (909) 285-4950
Other names 1
- Ms. Nicole Marie Albano
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT78339 | CA | MD | Marriage & Family Therapist |
| LF60694146 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Am Well Therapy PC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
4900 SW Griffith Dr
Ste 239
Beaverton, OR 97005
Phone (503) 953-4937
1110 SE Alder St
Ste 301
Portland, OR 97214
Phone (503) 317-7780
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.
-
- Marriage & Family Therapist
- Beaverton, OR
- NPI 1265281000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1366747636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 SE ALDER ST STE 301",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142400",
"telephone_number": "909-285-4950",
"fax_number": "909-285-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SW GRIFFITH DR STE 239",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970054649",
"telephone_number": "909-284-4950",
"fax_number": "909-285-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALK",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT78339",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1620",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60694146",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "ALBANO",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.