Individual provider Active NPI

Phuc-Hau Nguyen

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1508206384
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9035 SE Foster Rd
Portland, OR 97266-4617
Phone
(503) 872-8822
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Adult Companion 372600000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

9035 SE Foster Rd
Portland, OR 97266-4617

Mailing address

9035 SE Foster Rd
Portland, OR 97266-4617
Phone (503) 872-8822

Other practice location 1

14839 SE 82nd Dr
Clackamas, OR 97015-7624
Phone (503) 372-5147 ext. 6

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520003433 OR Practitioner - Mental Health Counselor 3274975412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multnomah County Current Accepting new patients
Multnomah County CurrentSince Apr 7, 2024 Accepting new patients
Grace Counseling Services, LLC Mental Health Current Accepting new patients
Multnomah County CurrentSince Apr 7, 2024 Accepting new patients
Asian Health & Service Center CurrentSince Jul 21, 2024 Accepting new patients

Locations

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

619 NW 6th Ave
Portland, OR 97209
Phone (503) 988-3674

619 NW 6th Ave
Fl 5
Portland, OR 97209
Phone (503) 988-3674

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

9035 SE Foster Rd
Portland, OR 97266
Phone (503) 772-5902

Organizations & group practices 5

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1508206384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 SE FOSTER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664617",
            "telephone_number": "503-872-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 SE FOSTER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664617",
            "telephone_number": "503-872-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14839 SE 82nd Dr",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970157624",
            "country_code": "US",
            "telephone_number": "503-372-5147 x6",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUC-HAU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "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.