Benjamin A Lessley, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4815 Issued in OR

Practice address

17979 Stafford Rd
Lake Oswego, OR 97034-7627

Phone

(503) 929-1348

NPI assigned

Feb 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1659903334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N LOCUST ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970132931",
            "telephone_number": "503-929-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17979 STAFFORD RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970347627",
            "telephone_number": "503-929-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSLEY",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBLPCT LICENSE",
            "identifier": "C4815",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.