Individual provider Active NPI

Margie Chance, LPC, CADC-I

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1619078144
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1465 Issued in OR
Practice address
1255 NW 9TH Ave
#106
Portland, OR 97209-3255
Phone
(503) 234-0985
Fax
(503) 234-0995
NPI assigned
Sep 26, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C1465 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 01-03-07 OR
Mental Health Counselor 101YM0800X C1465 OR
Professional Counselor 101YP2500X C1465 OR Primary

Addresses

Primary practice location

1255 NW 9TH Ave
#106
Portland, OR 97209-3255

Mailing address

1255 NW 9TH Ave
#106
Portland, OR 97209-3255
Phone (503) 234-0985

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
C1465ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1619078144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 NW 9TH AVE",
            "address_2": "#106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093255",
            "telephone_number": "503-234-0985",
            "fax_number": "503-234-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 NW 9TH AVE",
            "address_2": "#106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093255",
            "telephone_number": "503-234-0985",
            "fax_number": "503-234-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "MARGIE",
        "name_prefix": "Ms.",
        "credential": "LPC, CADC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C1465",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "01-03-07",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1465",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1465",
            "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 Nov 5, 2007; 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.