Individual provider Active NPI

Sharon Lii

  • Behavior Analyst
  • Portland, OR
National Provider Identifier
1659664464
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-20877 Issued in CA
Practice address
9221 SW Barbur Blvd Ste 305
Portland, OR 97219-5421
Phone
(877) 264-6747
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X 1-15-20877 CA Primary

Addresses

Primary practice location

9221 SW Barbur Blvd Ste 305
Portland, OR 97219-5421

Mailing address

1663 Mission St Ste 400
San Francisco, CA 94103-2485
Phone (877) 264-6747

Other practice location 1

1700 Broadway
Oakland, CA 94612-2141
Phone (510) 273-8335

Other practice location 2

9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876
Phone (971) 236-0915

Other identifiers 1

IdentifierTypeStateIssuer
1659664464OtherCANPI

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kyo Autism Therapy, LLC Behavior Analyst PastSince Aug 9, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1659664464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 MISSION ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032485",
            "telephone_number": "877-264-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 SW BARBUR BLVD STE 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195421",
            "telephone_number": "877-264-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Broadway",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946122141",
            "country_code": "US",
            "telephone_number": "510-273-8335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9115 SW Oleson Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972236876",
            "country_code": "US",
            "telephone_number": "971-236-0915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LII",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-20877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659664464",
            "state": "CA"
        }
    ],
    "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 Aug 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.