Active NPI
Noreen Valdez Gruber, LPC
- Professional Counselor
- Tualatin, OR
National Provider Identifier
1477722106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4290
- Practice address
- 19250 SW 65TH Ave Ste 300
Tualatin, OR 97062-7707 - Phone
- (503) 692-1242
- Fax
- (503) 691-3615
- NPI assigned
- Feb 27, 2008
- Last updated
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | ||
| Professional Counselor | 101YP2500X | C4290 | OR | Primary |
Addresses
Primary practice location
19250 SW 65TH Ave Ste 300
Tualatin, OR 97062-7707
Mailing address
7650 SW Beveland Rd
Portland, OR 97223-8692
Phone (503) 601-3615
Other practice location 1
405 NE 3rd St Ste 6
McMinnville, OR 97128-6219
Phone (971) 237-0924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500692102 | Medicaid | OR |
Other names 1
- Noreen N Valdez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4290 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piiq Space PC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1477722106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 SW BEVELAND RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238692",
"telephone_number": "503-601-3615",
"fax_number": "503-646-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19250 SW 65TH AVE STE 300",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627707",
"telephone_number": "503-692-1242",
"fax_number": "503-691-3615"
}
],
"practiceLocations": [
{
"address_1": "405 NE 3rd St Ste 6",
"address_purpose": "LOCATION",
"city": "McMinnville",
"state": "OR",
"postal_code": "971286219",
"country_code": "US",
"telephone_number": "971-237-0924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUBER",
"first_name": "NOREEN",
"middle_name": "VALDEZ",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500692102",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NOREEN",
"last_name": "VALDEZ",
"middle_name": "N",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.