Individual provider Active NPI

Joseph Hockey Jr., LCSW

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1407303902
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L13120 Issued in OR
Practice address
2250 NW Flanders St Ste 201
Portland, OR 97210-5410
Phone
(503) 427-1952
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L13102 OR
Mental Health Counselor 101YM0800X L13120 OR Primary

Addresses

Primary practice location

2250 NW Flanders St Ste 201
Portland, OR 97210-5410

Mailing address

2250 NW Flanders St Ste 201
Portland, OR 97210-5410
Phone (503) 427-1952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610001703 WA Practitioner - Clinical Social Worker 0941544043 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L13120ORMDMental Health Counselor
L13102ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Childrens Hospital CurrentSince May 4, 2024 Accepting new patients
Connections First, LLC Clinical CurrentSince May 22, 2022 Accepting new patients
Seattle Children'S Hospital Current Accepting new patients
Seattle Children'S Hospital CurrentSince May 4, 2024 Accepting new patients

Locations

2250 NW Flanders St
Ste 201
Portland, OR 97210
Phone (503) 427-1952

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Organizations & group practices 4

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1407303902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105410",
            "telephone_number": "503-427-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105410",
            "telephone_number": "503-427-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKEY",
        "first_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13102",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L13120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.