Individual provider Active NPI

Lee M Lynch, LMFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1376956086
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2487 Issued in OR
Practice address
1923 NE Broadway St Unit 5
Portland, OR 97232-1501
Phone
(503) 908-9435
NPI assigned
Jun 10, 2014
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106196 CA
Marriage & Family Therapist 106H00000X T2487 OR Primary

Addresses

Primary practice location

1923 NE Broadway St Unit 5
Portland, OR 97232-1501

Mailing address

1923 NE Broadway St Unit 5
Portland, OR 97232-1501
Phone (503) 908-9435

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

LicenseStateTypeSpecialty
106196CAMDMarriage & Family Therapist
T2487ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Queer Expressions Mental Health Collective: Individual & Family Counse Marriage & Family Therapist CurrentSince Aug 11, 2024 Accepting new patients

Locations

2443 Fillmore St
San Francisco, CA 94115
Phone (415) 689-8591

1923 NE Broadway St
Unit 5
Portland, OR 97232
Phone (415) 816-8861

650 NE Holladay St
Ste 1600
Portland, OR 97232
Phone (503) 438-0266

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.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1376956086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 NE BROADWAY ST UNIT 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321501",
            "telephone_number": "503-908-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 NE BROADWAY ST UNIT 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321501",
            "telephone_number": "503-908-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "LEE",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106196",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2487",
            "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 Aug 27, 2024; 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.