Active NPI
Will Walker Lcisw LLC
Doing business as Hourglass Counseling
- Community/Behavioral Health Agency
- Portland, OR
National Provider Identifier
1568913028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 124827296
- Legal business name
- WILL WALKER LCISW LLC
- Doing business as
- Hourglass Counseling
- Practice address
- 650 NE Holladay St
Suite 1600
Portland, OR 97232-2045 - Phone
- (503) 438-0266
- NPI assigned
- Oct 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Noah Walker Jr., LCSW
- Title
- Owner
- Phone
- (503) 438-0266
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 124827296 | OR | Primary |
Addresses
Primary practice location
650 NE Holladay St
Suite 1600
Portland, OR 97232-2045
Mailing address
650 NE Holladay St
Suite 1600
Portland, OR 97232-2045
Phone (503) 438-0266
Other names 1
- Hourglass Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Hourglass Counseling
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Counselor
- Portland, OR
- NPI 1689124174
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Portland, OR
- NPI 1902340060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498521600000",
"number": "1568913028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 NE HOLLADAY ST",
"address_2": "SUITE 1600",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322045",
"telephone_number": "503-438-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NE HOLLADAY ST",
"address_2": "SUITE 1600",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322045",
"telephone_number": "503-438-0266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILL WALKER LCISW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-20",
"last_updated": "2017-06-27",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "NOAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-438-0266",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OR",
"license": "124827296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hourglass Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.