Onyx Counseling Consulting & Supervision, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ONYX COUNSELING CONSULTING & SUPERVISION, LLC.

Practice address

1767 12TH St # 259
Hood River, OR 97031-9531

Phone

(541) 638-0841

NPI assigned

Jan 28, 2021

Last updated

Feb 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mollie Reiko Knapp, LCSWNPI 1083124697

Title

Clinician and Owner

Phone

(541) 638-0841

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

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.

• Mollie Reiko Knapp, LCSW, LICSW

  • Clinical Social Worker
  • Hood River, OR
  • NPI 1083124697
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1649861105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 12TH ST # 259",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 12TH ST # 259",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319531",
            "telephone_number": "541-638-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYX COUNSELING CONSULTING & SUPERVISION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "REIKO",
        "authorized_official_title_or_position": "CLINICIAN AND OWNER",
        "authorized_official_telephone_number": "541-638-0841",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083124697",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mollie@onyxcounselingllc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1767 12th St # 259",
            "city": "Hood River",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970319531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Hood River, OR
• Providers in Hood River, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.