NPIMap

Organization Active NPI

Western Psychological and Counseling Services PC

  • Health Maintenance Organization
  • Fairview, OR
National Provider Identifier
1447624663
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
LH 60489053 Issued in WA
Legal business name
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC
Practice address
22070 NE Chinook Way
Fairview, OR 97024-2647
Phone
(971) 275-0294
NPI assigned
Nov 26, 2015
Last updated
Jan 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Amanda Robertson
Title
Contract and Credentialing
Phone
(503) 233-5405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X LH 60489053 WA Primary

Addresses

Primary practice location

22070 NE Chinook Way
Fairview, OR 97024-2647

Mailing address

22070 NE Chinook Way
Fairview, OR 97024-2647
Phone (971) 275-0294

Other identifiers 1

IdentifierTypeStateIssuer
0000WDBCH-WAMedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Western Pysch Cnslg S18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1447624663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22070 NE CHINOOK WAY",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970242647",
            "telephone_number": "971-275-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22070 NE CHINOOK WAY",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970242647",
            "telephone_number": "971-275-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CONTRACT AND CREDENTIALING",
        "authorized_official_telephone_number": "503-233-5405"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "LH 60489053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000WDBCH-WA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.