Active NPI
Leslie Dove Hering, PCA
- Mental Health Counselor
- Tigard, OR
National Provider Identifier
1396475406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R11880
- Practice address
- 11740 SW 68TH Pkwy Ste 200
Tigard, OR 97223-9058 - Phone
- (425) 477-4216
- NPI assigned
- Jun 13, 2022
- Last updated
- Oct 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | R11880 | OR | |
| Mental Health Counselor | 101YM0800X | R11880 | OR | Primary |
Addresses
Primary practice location
11740 SW 68TH Pkwy Ste 200
Tigard, OR 97223-9058
Mailing address
13620 SW Wrightwood CT
Tigard, OR 97224-0994
Phone (503) 481-3945
Other practice location 1
13620 SW Wrightwood Ct
Tigard, OR 97224-0994
Phone (503) 481-3945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3159 Carpenters Park Rd
Davidsville, PA 15928-9223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R11880 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1396475406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13620 SW WRIGHTWOOD CT",
"city": "TIGARD",
"state": "OR",
"postal_code": "972240994",
"telephone_number": "503-481-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 SW 68TH PKWY STE 200",
"city": "TIGARD",
"state": "OR",
"postal_code": "972239058",
"telephone_number": "425-477-4216"
}
],
"practiceLocations": [
{
"address_1": "13620 SW Wrightwood Ct",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972240994",
"country_code": "US",
"telephone_number": "503-481-3945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERING",
"first_name": "LESLIE",
"middle_name": "DOVE",
"credential": "PCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R11880",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R11880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.