NPIMap

Organization Active NPI

Collaborative Consultation & Counseling, LLC

  • Community/Behavioral Health Agency
  • McMinnville, OR
National Provider Identifier
1447690318
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5235 Issued in OR
Legal business name
COLLABORATIVE CONSULTATION & COUNSELING, LLC
Practice address
234 SW Eckman St
McMinnville, OR 97128-5752
Phone
(503) 883-9001
NPI assigned
Jun 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Heather Jane Johnson, LCSWNPI 1699016246
Title
Counselor
Phone
(503) 883-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5235 OR Primary

Addresses

Primary practice location

234 SW Eckman St
McMinnville, OR 97128-5752

Mailing address

234 SW Eckman St
McMinnville, OR 97128-5752
Phone (503) 883-9001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1447690318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SW ECKMAN ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285752",
            "telephone_number": "503-883-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 SW ECKMAN ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285752",
            "telephone_number": "503-883-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE CONSULTATION & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "503-883-9001",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "5235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.