Julia Bennion

Individual provider Active NPI Marriage & Family Therapist · Tigard, OR

NPI 1447014121 · NPPES record last updated Feb 12, 2024

Key facts

NPI
1447014121
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
R8818 (OR)
Practice address
6950 SW Hampton St Ste 310
Tigard, OR 97223-8332
Phone
(971) 301-2041
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R8818ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Counseling Collective, LLC Marriage & Family Therapist Current
since Feb 18, 2024
Accepting new patients

Locations

6950 SW Hampton St
Ste 310
Tigard, OR 97223
Phone (503) 684-5322

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X R8818 OR Yes

Addresses

Primary practice location

6950 SW Hampton St Ste 310
Tigard, OR 97223-8332

Mailing address

6950 SW Hampton St Ste 310
Tigard, OR 97223-8332
Phone (971) 301-2041

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2024.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1447014121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST STE 310",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238332",
            "telephone_number": "971-301-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST STE 310",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238332",
            "telephone_number": "971-301-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNION",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R8818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

All providers in Tigard, OR · Marriage & Family Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.