Active NPI
Liesl Geschke
- Behavior Technician
- Oregon City, OR
National Provider Identifier
1528433398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 610 High St
Oregon City, OR 97045-2241 - Phone
- (503) 657-8903
- Fax
- (503) 650-4302
- NPI assigned
- Dec 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LF60393323 | WA | |
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
610 High St
Oregon City, OR 97045-2241
Mailing address
610 High St
Oregon City, OR 97045-2241
Phone (503) 657-8903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF60393323 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480723200000",
"number": "1528433398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 HIGH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452241",
"telephone_number": "503-657-8903",
"fax_number": "503-650-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 HIGH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452241",
"telephone_number": "503-657-8903",
"fax_number": "503-650-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GESCHKE",
"first_name": "LIESL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2016-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LF60393323",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.