Individual provider Active NPI

Joshua Raphael Atanasio, MSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1487138178
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1306 NW Hoyt St Ste 407
Portland, OR 97209-2787
Phone
(862) 216-8399
NPI assigned
Sep 19, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241122004231 OR Practitioner - Clinical Social Worker 3476088782 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Sep 20, 2024 Accepting new patients
Rogue Psych Consultants, LLC Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. Mental Health CurrentSince Sep 20, 2024 Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141

3115 NE Sandy Blvd
Ste 225
Portland, OR 97232
Phone (971) 407-3930

5601 SE 122nd Ave
Portland, OR 97236
Phone (503) 760-6556

1306 NW Hoyt St
Ste 407
Portland, OR 97209
Phone (971) 407-3930

Interoperability endpoints

  • Direct secure messaging: joshua.atanasio.1@28621.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OR
Clinical Social Worker 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

1306 NW Hoyt St Ste 407
Portland, OR 97209-2787

Mailing address

PO Box 1234
Saint Helens, OR 97051-8234
Phone (503) 397-5211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2024.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1487138178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1234",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970518234",
            "telephone_number": "503-397-5211",
            "fax_number": "503-397-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 NW HOYT ST STE 407",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092787",
            "telephone_number": "862-216-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANASIO",
        "first_name": "JOSHUA",
        "middle_name": "RAPHAEL",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.