Anne C. Church, Ma, LPC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ANNE C. CHURCH, MA, LPC, LLC

Practice address

12220 SW 2ND St
Beaverton, OR 97005-2828

Phone

(971) 238-2654

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Anne C. Church, MA, LPC, CADC IINPI 1841506961

Title

Owner

Phone

(503) 971-2654

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Anne C Church, MA,LPC,CADC II

  • Addiction (Substance Use Disorder) Counselor
  • Newberg, OR
  • NPI 1841506961
  NPD Authorized official

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1467970970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 SW PEARL ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053889",
            "telephone_number": "503-320-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 SW 2ND ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052828",
            "telephone_number": "971-238-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE C. CHURCH, MA, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-971-2654",
        "authorized_official_credential": "MA, LPC, CADC II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Murison
• Susan Patricia Anduaga Bocanegra, MD
• Gianna Andujo
• Skye Anfield, MA, LPC-A, CADC I
• Selena Angel
• Anthony H. Lee, M.D. PC
• Scott Anthony, MSW, LCSW
• Emma Antich
• Susan Jane Antony, DDS
• Keiichi Aoyama, DC, MS

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.