Individual provider Active NPI

Linda L Simpson, MA LPC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1598788374
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1329 Issued in OR
Practice address
1817 NE 17TH Ave
3550 N. Interstate Ave.
Portland, OR 97212-4509
Phone
(503) 249-6229
NPI assigned
Jul 25, 2006
Last updated
Aug 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1329 OR Primary

Addresses

Primary practice location

1817 NE 17TH Ave
3550 N. Interstate Ave.
Portland, OR 97212-4509

Mailing address

1817 NE 17TH Ave
3550 N. Interstate Ave.
Portland, OR 97212-4509
Phone (503) 249-6229

Other identifiers 1

IdentifierTypeStateIssuer
271177MedicaidOR

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C1329ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1598788374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 NE 17TH AVE",
            "address_2": "3550 N. INTERSTATE AVE.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124509",
            "telephone_number": "503-249-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 NE 17TH AVE",
            "address_2": "3550 N. INTERSTATE AVE.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124509",
            "telephone_number": "503-249-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "LINDA",
        "middle_name": "L",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271177",
            "state": "OR"
        }
    ],
    "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 Aug 26, 2008; 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.