Active NPI
Steven Daniel Hohenboken
- Counselor
- Portland, OR
National Provider Identifier
1639462484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2143 NE Broadway St
#2
Portland, OR 97232-1512 - Phone
- (503) 753-6619
- NPI assigned
- May 25, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2143 NE Broadway St
#2
Portland, OR 97232-1512
Mailing address
2143 NE Broadway St
#2
Portland, OR 97232-1512
Phone (503) 753-6619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 18, 2024 through Feb 18, 2028
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": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1639462484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2143 NE BROADWAY ST",
"address_2": "#2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321512",
"telephone_number": "503-753-6619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2143 NE BROADWAY ST",
"address_2": "#2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321512",
"telephone_number": "503-753-6619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOHENBOKEN",
"first_name": "STEVEN",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.