Active NPI
Rebecca J Pearce, LMFT
- Marriage & Family Therapist
- Sandy, OR
National Provider Identifier
1386704005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 17150 University Ave
Suite 101
Sandy, OR 97055-9290 - Phone
- (503) 668-5001
- Fax
- (503) 388-3162
- NPI assigned
- Dec 11, 2006
- Last updated
- Dec 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Mental Health Counselor | 101YM0800X | LH 60108339 | WA | |
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
17150 University Ave
Suite 101
Sandy, OR 97055-9290
Mailing address
17150 University Ave
Suite 101
Sandy, OR 97055-9290
Phone (503) 668-5001
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 |
|---|---|---|---|
| LH 60108339 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Mind Counseling Services, PLLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sammamish, WA
- NPI 1124614680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1386704005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17150 UNIVERSITY AVE",
"address_2": "SUITE 101",
"city": "SANDY",
"state": "OR",
"postal_code": "970559290",
"telephone_number": "503-668-5001",
"fax_number": "503-388-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17150 UNIVERSITY AVE",
"address_2": "SUITE 101",
"city": "SANDY",
"state": "OR",
"postal_code": "970559290",
"telephone_number": "503-668-5001",
"fax_number": "503-388-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 60108339",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, OR
- Elizabeth Joyce Pacarro, APRN
- Pacific Northwest Home Health LLC
- Pacific Northwest Renal Services, L.L.C. (Fresenius Medical Care Sandy Dialysis)
- Jamie Paris
- Partners in Healing Counseling Services, LLC
- Pearl Acupuncture & Healing Center
- Pearl Acupuncture & Healing Center
- Pearl Acupuncture & Healing Center
- Christine Noel Peters-Krajewski
- Claudia M Peterson, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.