NPIMap

Organization Active NPI

Innovations in Counseling Inc

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1396808515
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3045 Issued in OR
Legal business name
INNOVATIONS IN COUNSELING INC
Practice address
4511 SE 39TH Ave
Portland, OR 97202-3119
Phone
(503) 234-4440
Fax
(503) 200-5550
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Margaret N Gonsiewski, LCSWNPI 1982897583
Title
Owner
Phone
(503) 234-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 3045 OR Primary

Addresses

Primary practice location

4511 SE 39TH Ave
Portland, OR 97202-3119

Mailing address

4511 SE 39TH Ave
Portland, OR 97202-3119
Phone (503) 234-4440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1396808515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 SE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023119",
            "telephone_number": "503-234-4440",
            "fax_number": "503-200-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 SE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023119",
            "telephone_number": "503-234-4440",
            "fax_number": "503-200-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS IN COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "GONSIEWSKI",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-234-4440",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3045",
            "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 19, 2008; 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.