Individual provider Active NPI

Alisa Rachelle Karmel

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1487219424
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3844 Issued in OR
Practice address
811 SW 6TH Ave Ste 1000
Portland, OR 97204-1345
Phone
(503) 334-3035
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 3844 OR Primary

Addresses

Primary practice location

811 SW 6TH Ave Ste 1000
Portland, OR 97204-1345

Mailing address

222 SE 8TH Ave Ste 212
Hillsboro, OR 97123-4218
Phone (503) 253-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240507000714 OR Practitioner - Mental Health Counselor 9931549011 Reassigns benefits to 1 organization
I20241106001291 OR Practitioner - Clinical Psychologist 9931549011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Services Connection LLCGroup PAC ID 7416317789, 15 clinicians

Practice addresses (Care Compare)

811 SW 6TH Ave
Portland, OR 97204-1345
Phone (503) 334-3035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3844ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services Connection LLC CurrentSince Apr 30, 2024 Accepting new patients
Dr. Alisa Karmel, LLC Clinical Current Accepting new patients
Pacific University Past Accepting new patients

Locations

811 SW 6th Ave
Ste 1000
Portland, OR 97204
Phone (503) 334-3035

Organizations & group practices 3

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1487219424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SE 8TH AVE STE 212",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234218",
            "telephone_number": "503-253-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SW 6TH AVE STE 1000",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041345",
            "telephone_number": "503-334-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARMEL",
        "first_name": "ALISA",
        "middle_name": "RACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.