Active NPI
Liisa Noel Ferguson
- Counselor
- Vancouver, WA
National Provider Identifier
1417102161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- GT224008F
- Practice address
- 9300 NE Oak View Dr
Vancouver, WA 98662-6347 - Phone
- (360) 567-2211
- NPI assigned
- Nov 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | GT224008F | ID | Primary |
Addresses
Primary practice location
9300 NE Oak View Dr
Vancouver, WA 98662-6347
Mailing address
2811 NE Holman St
Portland, OR 97211-6067
Phone (971) 219-4740
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 |
|---|---|---|---|
| GT224008F | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1417102161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 NE HOLMAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972116067",
"telephone_number": "971-219-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 NE OAK VIEW DR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626347",
"telephone_number": "360-567-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "LIISA",
"middle_name": "NOEL",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "GT224008F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.