Individual provider Active NPI

Bernadette Ramirez

  • Addiction (Substance Use Disorder) Counselor
  • Hillsboro, OR
National Provider Identifier
1407390966
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1049 SW Baseline St Ste D480
Hillsboro, OR 97123-3863
Phone
(503) 954-5970
NPI assigned
Dec 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X THW1523 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1049 SW Baseline St Ste D480
Hillsboro, OR 97123-3863

Mailing address

PO Box 16756
Portland, OR 97292-0756
Phone (503) 954-5970

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bernadette@bridgestochange.com

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
THW1523ORMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1407390966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16756",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920756",
            "telephone_number": "503-954-5970",
            "fax_number": "503-208-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 SW BASELINE ST STE D480",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233863",
            "telephone_number": "503-954-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "BERNADETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW1523",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bernadette@bridgestochange.com",
            "affiliation": "N",
            "address_1": "1049 SW Baseline St Ste D480",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971233863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.