Individual provider Active NPI

Anagha A Phadkule, MC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1457903403
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6237 Issued in OR
Practice address
17950 NW Deercreek CT
Portland, OR 97229-3061
Phone
(480) 334-3032
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C6237 OR Primary

Addresses

Primary practice location

17950 NW Deercreek CT
Portland, OR 97229-3061

Mailing address

17950 NW Deercreek CT
Portland, OR 97229-3061
Phone (480) 334-3032

Other practice location 1

284 SE 40th Ave
Hillsboro, OR 97123-7185
Phone (480) 334-3032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214001161 OR Practitioner - Mental Health Counselor 5294179651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, 331 clinicians

Practice addresses (Care Compare)

1500 NW Bethany Blvd
Suite 320
Beaverton, OR 97006-5238
Phone (503) 567-3260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C6237ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Counselor CurrentSince Jul 8, 2025 Accepting new patients
Western Psychological and Counseling Services LLC Counselor CurrentSince Jul 8, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1500 NW Bethany Blvd
Ste 320
Beaverton, OR 97006
Phone (503) 567-3260

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

Organizations & group practices 2

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1457903403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17950 NW DEERCREEK CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293061",
            "telephone_number": "480-334-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17950 NW DEERCREEK CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293061",
            "telephone_number": "480-334-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "284 SE 40th Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971237185",
            "country_code": "US",
            "telephone_number": "480-334-3032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHADKULE",
        "first_name": "ANAGHA",
        "middle_name": "A",
        "credential": "MC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.