Active NPI
Beth Bogdon LPC LLC
- Community/Behavioral Health Agency
- Portland, OR
National Provider Identifier
1366995516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- C4160
- Legal business name
- BETH BOGDON LPC LLC
- Practice address
- 2225 NE MLK Jr Blvd
Ste 207
Portland, OR 97212-3727 - Phone
- (971) 284-7313
- NPI assigned
- Jul 24, 2016
- Last updated
- Jul 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth M Bogdon, LPC
- Title
- Mental Health Counselor
- Phone
- (971) 284-7313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | C4160 | OR | Primary |
Addresses
Primary practice location
2225 NE MLK Jr Blvd
Ste 207
Portland, OR 97212-3727
Mailing address
3406 N Willis Blvd
Portland, OR 97217-7264
Phone (971) 284-7313
National Provider Directory
National Provider DirectoryLocations
2225 NE Mlk Jr Blvd
Ste 207
Portland, OR 97212
Phone (503) 490-1823
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Portland, OR
- NPI 1497169841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469318400000",
"number": "1366995516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 N WILLIS BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972177264",
"telephone_number": "971-284-7313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 NE MLK JR BLVD",
"address_2": "STE 207",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123727",
"telephone_number": "971-284-7313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETH BOGDON LPC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-24",
"last_updated": "2016-07-24",
"status": "A",
"authorized_official_last_name": "BOGDON",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "971-284-7313",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OR",
"license": "C4160",
"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 Jul 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.