Heidi Michelle Feigenbaum, LPC AAC
Individual provider Active NPI Professional Counselor · Gladstone, OR
NPI 1649356239 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649356239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C1390 (OR)
- Practice address
- 880 SE 82ND Dr
Gladstone, OR 97027-1803 - Phone
- (503) 659-5515
- Fax
- (503) 659-1994
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Western Psychological and Counseling Services LLC
Practice addresses (Care Compare)
1750 Blankenship Rd
Suite 400
West Linn, OR 97068-5102
Phone (503) 659-5515
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241115003886 | OR | Practitioner - Mental Health Counselor | 2860926565 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Current |
Accepting new patients | |
| Western Psychological and Counseling Services LLC | Professional | Current |
Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
890 82nd Dr
Gladstone, OR 97027
Phone (503) 659-5515
880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494
10151 SE Sunnyside Rd
Ste 480
Happy Valley, OR 97015
Phone (503) 739-8321
1750 Blankenship Rd
Ste 400
West Linn, OR 97068
Phone (503) 659-5515
Interoperability endpoints
- lifestancehealth.heidifeigenbaum@148835.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1390 | OR | Yes |
Addresses
Primary practice location
880 SE 82ND Dr
Gladstone, OR 97027-1803
Mailing address
PO Box 82819
Portland, OR 97282
Phone (503) 233-5405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164936 | Medicaid | OR |
Other providers in Gladstone, OR
- Robert Highley Everett
- Evergreen Joy
- Dena Louise Fairchild
- Tara Farley
- Amy Faulhaber
- David L Finke
- Christina Laree Foerster
- Gennady Fortuna
- Preston Ray Frase
- David Frazee
All providers in Gladstone, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.