Portland Family Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2363 Issued in OR

Legal business name

PORTLAND FAMILY COUNSELING

Practice address

2661 NW Thurman St
Portland, OR 97210-2202

Phone

(503) 289-1584

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Yshai Boussi, L.P.C.

Title

Psychotherapist

Phone

(503) 260-3315

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1598098956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 NE ROSA PARKS WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113657",
            "telephone_number": "503-260-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102202",
            "telephone_number": "503-289-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "BOUSSI",
        "authorized_official_first_name": "YSHAI",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "503-260-3315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2363",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Ear, Nose & Throat Specialists
• Portland Electrolysis and Skin Care
• Portland Emergency Dental Care USA PC
• Portland Eye Clinic LLC
• Portland Eye Clinic LLC
• Portland Family Practice Inc.
• Portland Family Services LLC
• Portland Foot and Ankle Institute, LLC
• Portland Foot and Ankle, LLC
• Portland Gastroenterology Equipment

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.