Active NPI
Javier F Casado Perez, PHD NCC LPC INTERN
- Professional Counselor
- Portland, OR
National Provider Identifier
1619450707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R5328
- Practice address
- 2109 NW Irving St Unit 207
Portland, OR 97210-5238 - Phone
- (732) 573-5262
- NPI assigned
- Sep 13, 2018
- Sex
- Male
- 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 | R5328 | OR | Primary |
Addresses
Primary practice location
2109 NW Irving St Unit 207
Portland, OR 97210-5238
Mailing address
2109 NW Irving St Unit 207
Portland, OR 97210-5238
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5328 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1619450707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 NW IRVING ST UNIT 207",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972105238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 NW IRVING ST UNIT 207",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972105238",
"telephone_number": "732-573-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASADO PEREZ",
"first_name": "JAVIER",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PHD NCC LPC INTERN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R5328",
"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 Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.