Organization Active NPI

Allison Labrousse Counseling, LLC

Doing business as Willamette Anxiety Clinic

  • Adult Mental Health Clinic/Center
  • Tigard, OR
National Provider Identifier
1417694571
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ALLISON LABROUSSE COUNSELING, LLC
Doing business as
Willamette Anxiety Clinic
Practice address
12725 SW 66TH Ave Ste 103
Tigard, OR 97223-2547
Phone
(503) 462-1763
Fax
(503) 714-3477
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Allison Nicole LabrousseNPI 1497316749
Title
Owner
Phone
(503) 462-1763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

12725 SW 66TH Ave Ste 103
Tigard, OR 97223-2547

Mailing address

12725 SW 66TH Ave Ste 103
Tigard, OR 97223-2547
Phone (503) 462-1763

Other names 1

  • Willamette Anxiety Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1417694571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SW 66TH AVE STE 103",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232547",
            "telephone_number": "503-462-1763",
            "fax_number": "503-714-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW 66TH AVE STE 103",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232547",
            "telephone_number": "503-462-1763",
            "fax_number": "503-714-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON LABROUSSE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "LABROUSSE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-462-1763"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willamette Anxiety Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.