Active NPI
Chanel Walker-Harris, LPC
- Professional Counselor
- Gresham, OR
National Provider Identifier
1437523461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5372
- Practice address
- 2951 NW Division St
Gresham, OR 97030-5292 - Phone
- (503) 988-8145
- NPI assigned
- Nov 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C5372 | OR | Primary |
Addresses
Primary practice location
2951 NW Division St
Gresham, OR 97030-5292
Mailing address
1231 NE M L King Blvd Apt 304
Portland, OR 97232-2094
Phone (318) 518-0115
Other practice location 1
7320 SW Hunziker Rd Ste 204
Tigard, OR 97223-2301
Phone (541) 527-4422 ext. 54152
Other practice location 2
5415 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 233-5405
Other names 1
- Chanel Walker
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 |
|---|---|---|---|
| C5372 | OR | MD | Professional Counselor |
Interoperability endpoints
- lifestancehealth.chanelwalker-harris@148835.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1437523461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 NE M L KING BLVD APT 304",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322094",
"telephone_number": "318-518-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 NW DIVISION ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305292",
"telephone_number": "503-988-8145"
}
],
"practiceLocations": [
{
"address_1": "7320 SW Hunziker Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972232301",
"country_code": "US",
"telephone_number": "541-527-4422 x54152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5415 SE Milwaukie Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97202",
"country_code": "US",
"telephone_number": "503-233-5405",
"fax_number": "503-233-2692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER-HARRIS",
"first_name": "CHANEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-13",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHANEL",
"last_name": "WALKER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.