Individual provider Active NPI

Christopher David Hoover, LPC, CADCIII

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1417665449
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3034 Issued in OR
Practice address
1791 NW 173Rd Ave Ste 140
Beaverton, OR 97006-5630
Phone
(503) 533-9806
Fax
(503) 352-1809
NPI assigned
Nov 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3034 OR Primary

Addresses

Primary practice location

1791 NW 173Rd Ave Ste 140
Beaverton, OR 97006-5630

Mailing address

33656 SE June LN
Scappoose, OR 97056-3842
Phone (605) 393-5335

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
C3034ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harden Psychological Associates, P.C. CurrentSince Nov 13, 2022 Accepting new patients

Locations

1791 NW 173rd Ave
Ste 140
Beaverton, OR 97006
Phone (503) 533-9806

Organizations & group practices 1

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1417665449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33656 SE JUNE LN",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563842",
            "telephone_number": "605-393-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 NW 173RD AVE STE 140",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065630",
            "telephone_number": "503-533-9806",
            "fax_number": "503-352-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "credential": "LPC, CADCIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.