Active NPI
Lena Eidi
- Mental Health Counselor
- Beaverton, OR
National Provider Identifier
1619650967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 16535 SW TV Hwy
Beaverton, OR 97003-5143 - Phone
- (971) 999-0662
- NPI assigned
- Aug 11, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
16535 SW TV Hwy
Beaverton, OR 97003-5143
Mailing address
800 Foothill CT NE Apt 106
Keizer, OR 97303-2088
Phone (419) 205-5733
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1619650967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 FOOTHILL CT NE APT 106",
"city": "KEIZER",
"state": "OR",
"postal_code": "973032088",
"telephone_number": "419-205-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16535 SW TV HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970035143",
"telephone_number": "971-999-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIDI",
"first_name": "LENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
- Trisha Egbert
- Sarah Eggenberger, SLP
- Thomas Ehnert
- Kelli Murdock Eickelberg, MA, CCC-SLP
- Brittany Shannon Eide, LPC INTERN
- Elderly and Disabled Services (Restoration Home Willow Creek)
- Elderly and Disabled Services (Restoration Home Stacey RTH)
- Elevate Wellness, LLC
- Elevated Hearts Center
- Elite Primary Care & Weight Science LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.