NPIMap

Organization Active NPI

Tever Nickerson Counseling, LLC

  • Counselor
  • Portland, OR
National Provider Identifier
1639944127
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
TEVER NICKERSON COUNSELING, LLC
Practice address
3735 SE 10TH Ave
Portland, OR 97202-3713
Phone
(503) 784-2377
NPI assigned
Nov 15, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Ms. Tever Nickerson, LPCNPI 1912332651
Title
Owner/Supervisor
Phone
(503) 784-2377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

3735 SE 10TH Ave
Portland, OR 97202-3713

Mailing address

3735 SE 10TH Ave
Portland, OR 97202-3713
Phone (503) 784-2377

National Provider Directory

National Provider Directory

Locations

1235 SE Division St
Ste 201B
Portland, OR 97202
Phone (503) 784-2377

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1639944127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 SE 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023713",
            "telephone_number": "503-784-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 SE 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023713",
            "telephone_number": "503-784-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEVER NICKERSON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "TEVER",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR",
        "authorized_official_telephone_number": "503-784-2377",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "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 Nov 15, 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.

Verify at the official NPI Registry.