Active NPI
Leigh Ann Moralez, MS
- Counselor
- Portland, OR
National Provider Identifier
1649798778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- PO Box 17625
Portland, OR 97217-0625 - Phone
- (503) 516-0941
- NPI assigned
- Sep 8, 2017
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | OR | Primary |
Addresses
Primary practice location
PO Box 17625
Portland, OR 97217-0625
Mailing address
PO Box 17625
Portland, OR 97217-0625
Phone (503) 516-0941
Other practice location 1
5200 S MacAdam Ave Ste 580
Portland, OR 97239-3837
Phone (503) 231-7854
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland DBT Institute, Inc. | Past | Accepting new patients | |
| Footprints Behavioral Interventions, Inc. | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Portland, OR
- NPI 1073853966
-
- Early Intervention Provider Agency
- Santa Ana, CA
- NPI 1780978858
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1649798778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17625",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972170625",
"telephone_number": "503-516-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 17625",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972170625",
"telephone_number": "503-516-0941"
}
],
"practiceLocations": [
{
"address_1": "5200 S MacAdam Ave Ste 580",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393837",
"country_code": "US",
"telephone_number": "503-231-7854",
"fax_number": "503-231-8153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALEZ",
"first_name": "LEIGH",
"middle_name": "ANN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2017-09-08",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"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 Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.