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Affectus Counseling

Organization Active NPI Adult Mental Health Clinic/Center · Beaverton, OR

NPI 1649167115 · NPPES record last updated Jun 24, 2025

Key facts

NPI
1649167115
Entity type
Organization (NPI type 2)
Primary specialty
Adult Mental Health Clinic/Center 261QM0850X
Legal business name
AFFECTUS COUNSELING
Practice address
12250 SW 2ND St Ste a
Beaverton, OR 97005-2828
Phone
(503) 997-2275
NPI assigned
Jun 18, 2025
Organization subpart
No

Authorized official

Name
Mr. Joaquin Lopez, MS, LPC
Title
Owner/Counselor
Phone
(503) 997-2275

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250904001732 OR Part B Supplier - Clinic/Group Practice 7810499472 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR

National Provider Directory

Locations

12250 SW 2nd St
Ste A
Beaverton, OR 97005
Phone (425) 418-9515

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Yes

Addresses

Primary practice location

12250 SW 2ND St Ste a
Beaverton, OR 97005-2828

Mailing address

12250 SW 2ND St Ste a
Beaverton, OR 97005-2828
Phone (503) 997-2275

Other providers in Beaverton, OR

All providers in Beaverton, OR · Adult Mental Health Clinic/Center in Oregon

Sources for this page

Verify at the official NPI Registry.