Individual provider Active NPI

Vanessa Lynn Washington, LPC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1548540545
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
511 SW 10TH Ave Ste 1104
Portland, OR 97205-2712
Phone
(503) 444-8214
Fax
(888) 978-8164
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 C3358 OR
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

511 SW 10TH Ave Ste 1104
Portland, OR 97205-2712

Mailing address

511 SW 10TH Ave Ste 1104
Portland, OR 97205-2712
Phone (503) 444-8214

Other practice location 1

712 SE Hawthorne Blvd
Ste 100
Portland, OR 97214-3538
Phone (503) 954-2188

Other identifiers 1

IdentifierTypeStateIssuer
500669881MedicaidOR

Other names 1

  • Vanessa Lynn Marks Former name

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
C3358ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sankofa Counseling, LLC Professional CurrentSince Mar 19, 2023 Accepting new patients

Locations

5014 NE 15th Ave
Portland, OR 97211
Phone (503) 389-5646

511 SW 10th Ave
Ste 1104
Portland, OR 97205
Phone (503) 444-8214

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548540545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052712",
            "telephone_number": "503-444-8214",
            "fax_number": "888-978-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052712",
            "telephone_number": "503-444-8214",
            "fax_number": "888-978-8164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 SE Hawthorne Blvd",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972143538",
            "country_code": "US",
            "telephone_number": "503-954-2188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "VANESSA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3358",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500669881",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "MARKS",
            "middle_name": "LYNN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 17, 2018; 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.