Active NPI
Mariah Lynne Ramirez Beltran
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1427570621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- R213
- Practice address
- 1110 SE Alder St Ste 301
Portland, OR 97214-2400 - Phone
- (503) 832-4607
- NPI assigned
- Jul 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | R213 | OR | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1110 SE Alder St Ste 301
Portland, OR 97214-2400
Mailing address
6629 N Yale St
Portland, OR 97203-5615
Phone (915) 491-0784
Other names 1
- Mariah Lynne Beltran
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 |
|---|---|---|---|
| R213 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avid Counseling Services, LLC | Mental Health | Past | Accepting new patients |
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": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1427570621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6629 N YALE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972035615",
"telephone_number": "915-491-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 SE ALDER ST STE 301",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142400",
"telephone_number": "503-832-4607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ BELTRAN",
"first_name": "MARIAH",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "R213",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAH",
"last_name": "BELTRAN",
"middle_name": "LYNNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.