Individual provider Active NPI

Vanessa L Little, LPC

  • Professional Counselor
  • Newberg, OR
National Provider Identifier
1427309152
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C4759 Issued in OR
Practice address
446 Villa Rd
Newberg, OR 97132-1856
Phone
(593) 330-5788
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C4759 OR Primary

Addresses

Primary practice location

446 Villa Rd
Newberg, OR 97132-1856

Mailing address

446 Villa Rd
Newberg, OR 97132-1856
Phone (503) 330-5788

Other practice location 1

1312 SW Washington St
Portland, OR 97205-2327
Phone (503) 330-5788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240827002432 OR Practitioner - Mental Health Counselor 0345785986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Valley Mental Health LLCGroup PAC ID 4082159629, 2 clinicians

Practice addresses (Care Compare)

3100 E Haworth Ave
Newberg, OR 97132-2197
Phone (503) 330-5788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Valley Mental Health LLC CurrentSince Jun 14, 2024 Accepting new patients
Willamette Valley Mental Health LLC Current Accepting new patients

Locations

3100 E Haworth Ave
Ste 270
Newberg, OR 97132
Phone (503) 330-5788

Organizations & group practices 2

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427309152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321856",
            "telephone_number": "503-330-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321856",
            "telephone_number": "593-330-5788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 SW Washington St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052327",
            "country_code": "US",
            "telephone_number": "503-330-5788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "VANESSA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.