Individual provider Active NPI

Yvonne Lewis, MC, LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1518467463
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C6127 Issued in OR
Practice address
1050 SW 6TH Ave Ste 1100
Portland, OR 97204-1153
Phone
(503) 851-1910
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-17151 AZ
Mental Health Counselor 101YM0800X C6127 OR Primary

Addresses

Primary practice location

1050 SW 6TH Ave Ste 1100
Portland, OR 97204-1153

Mailing address

1050 SW 6TH Ave Ste 1100
Portland, OR 97204-1153
Phone (503) 851-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C6127ORMDMental Health Counselor
LPC-17151AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Sun, LLC Mental Health Current Accepting new patients

Locations

1050 SW 6th Ave
Ste 1100
Portland, OR 97204
Phone (469) 640-0057

Organizations & group practices 1

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1518467463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SW 6TH AVE STE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041153",
            "telephone_number": "503-851-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SW 6TH AVE STE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041153",
            "telephone_number": "503-851-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "YVONNE",
        "credential": "MC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17151",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6127",
            "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 Jul 22, 2021; 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.