Individual provider Active NPI

Marina Parker, LPC, LMFT

  • Professional Counselor
  • Tualatin, OR
National Provider Identifier
1538836473
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C7161 Issued in OR
Practice address
18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607
Phone
(503) 612-1000
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T2464 OR
Professional Counselor 101YP2500X C7161 OR Primary

Addresses

Primary practice location

18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607

Mailing address

18715 SW 91St Ter
Tualatin, OR 97062-7419
Phone (503) 702-9528

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
I20240821003575 OR Practitioner - Mental Health Counselor 2264970235 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C7161ORMDProfessional Counselor
T2464ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services Connection LLC Professional CurrentSince Aug 1, 2024 Accepting new patients
Western Psychological and Counseling Services LLC Counselor Past Accepting new patients

Locations

9400 SW Beaverton Hillsdale Hwy
Ste 250
Beaverton, OR 97005
Phone (503) 743-7456

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

Organizations & group practices 2

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1538836473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18715 SW 91ST TER",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627419",
            "telephone_number": "503-702-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18765 SW BOONES FERRY RD STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628607",
            "telephone_number": "503-612-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARINA",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2464",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C7161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.