Active NPI
Mary Beth Patton, L.P.C.
- Professional Counselor
- Portland, OR
National Provider Identifier
1578708798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1363
- Practice address
- 2722 NE 33Rd Ave
Portland, OR 97212-3648 - Phone
- (503) 381-5715
- Fax
- (503) 239-3989
- NPI assigned
- Dec 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1363 | OR | Primary |
Addresses
Primary practice location
2722 NE 33Rd Ave
Portland, OR 97212-3648
Mailing address
2722 NE 33Rd Ave
Portland, OR 97212-3648
Phone (503) 381-5715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1578708798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 NE 33RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123648",
"telephone_number": "503-381-5715",
"fax_number": "503-239-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 NE 33RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123648",
"telephone_number": "503-381-5715",
"fax_number": "503-239-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "MARY BETH",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1363",
"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 Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.