NPIMap

Organization Active NPI

Spectrums Family Services, LLC

  • Clinical Social Worker
  • Beaverton, OR
National Provider Identifier
1508230707
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5764 Issued in OR
Legal business name
SPECTRUMS FAMILY SERVICES, LLC
Practice address
8196 SW Hall Blvd
Suite 202
Beaverton, OR 97008-6409
Phone
(503) 567-1820
Fax
(971) 228-2405
NPI assigned
Nov 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Mrs. Maci N Elkins, LCSWNPI 1902179633
Title
Director/Therapist
Phone
(503) 567-1820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 5764 OR Primary

Addresses

Primary practice location

8196 SW Hall Blvd
Suite 202
Beaverton, OR 97008-6409

Mailing address

8196 SW Hall Blvd
Suite 202
Beaverton, OR 97008-6409
Phone (503) 567-1820

Other identifiers 1

IdentifierTypeStateIssuer
500652588MedicaidOR

National Provider Directory

National Provider Directory

Locations

8196 SW Hall Blvd
Ste 202
Beaverton, OR 97008
Phone (501) 791-9998

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1508230707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8196 SW HALL BLVD",
            "address_2": "SUITE 202",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086409",
            "telephone_number": "503-567-1820",
            "fax_number": "971-228-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 SW HALL BLVD",
            "address_2": "SUITE 202",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086409",
            "telephone_number": "503-567-1820",
            "fax_number": "971-228-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUMS FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "MACI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "503-567-1820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "5764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500652588",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.