Active NPI
Joshua Raphael Atanasio, MSW
- Clinical Social Worker
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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.
-
- Professional Counselor
- Portland, OR
- NPI 1710711080
Mental Health
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241122004231 | OR | Practitioner - Clinical Social Worker | 3476088782 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Clinical | Current | Accepting new patients |
| Rogue Psych Consultants, LLC | Mental Health | Current | Accepting new patients |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Mental Health | Current | 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
- joshua.atanasio.1@28621.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | ||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.