Active NPI
Teresa Heesacker, MA
- Professional Counselor
- Gladstone, OR
National Provider Identifier
1649629213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 18907 Portland Ave
Gladstone, OR 97027-1630 - Phone
- (503) 850-4298
- NPI assigned
- Jun 6, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
18907 Portland Ave
Gladstone, OR 97027-1630
Mailing address
14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 850-4298
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1649629213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14600 NW CORNELL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295442",
"telephone_number": "503-850-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18907 PORTLAND AVE",
"city": "GLADSTONE",
"state": "OR",
"postal_code": "970271630",
"telephone_number": "503-850-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEESACKER",
"first_name": "TERESA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gladstone, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.