Active NPI
Marie Anne Daniels, QMHP-R
- Mental Health Counselor
- Beaverton, OR
National Provider Identifier
1427835289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 23-QMHP-R-2343
- Practice address
- 6700 SW 105TH Ave Ste 215
Beaverton, OR 97008-8824 - Phone
- (971) 399-0882
- NPI assigned
- Sep 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 23-QMHP-R-2343 | OR | Primary |
Addresses
Primary practice location
6700 SW 105TH Ave Ste 215
Beaverton, OR 97008-8824
Mailing address
5686 NW 183Rd Ave Apt a
Portland, OR 97229-3505
Phone (417) 781-7804
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 |
|---|---|---|---|
| 23-QMHP-R-2343 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Inner Self, LLC | Mental Health | Current | Accepting new patients |
Locations
6700 SW 105th Ave
Ste 215
Beaverton, OR 97008
Phone (503) 461-3910
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": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1427835289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5686 NW 183RD AVE APT A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972293505",
"telephone_number": "417-781-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 SW 105TH AVE STE 215",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970088824",
"telephone_number": "971-399-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "MARIE",
"middle_name": "ANNE",
"credential": "QMHP-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "23-QMHP-R-2343",
"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 Sep 13, 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.