Individual provider Active NPI

Robin Hanseth, MA, LPC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1619177979
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2308 Issued in OR
Practice address
4004 SW Kelly Ave
Portland, OR 97239-4389
Phone
(503) 929-7191
NPI assigned
Jul 24, 2007
Last updated
Apr 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X C2308 OR Primary

Addresses

Primary practice location

4004 SW Kelly Ave
Portland, OR 97239-4389

Mailing address

4004 SW Kelly Ave
Portland, OR 97239-4389
Phone (503) 929-7191

Other identifiers 1

IdentifierTypeStateIssuer
C2308OtherORLPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121002469 OR Practitioner - Mental Health Counselor 6709315740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Nov 17, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Nov 17, 2024 Accepting new patients
Eugene Therapy LLC Professional Past Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

62930 Riley Rd
Ste 200
Bend, OR 97703
Phone (541) 330-1919

399 E 10th Ave
Eugene, OR 97401
Phone (541) 868-2004

Interoperability endpoints

  • Direct secure messaging: robin.hanseth.1@28621.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1619177979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 SW KELLY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394389",
            "telephone_number": "503-929-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 SW KELLY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394389",
            "telephone_number": "503-929-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSETH",
        "first_name": "ROBIN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "C2308",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.