Active NPI
Maria Menolasino, MS, CRC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1669864054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1135 SE Salmon St
Suite L3
Portland, OR 97214-3628 - Phone
- (503) 913-2704
- NPI assigned
- Feb 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1135 SE Salmon St
Suite L3
Portland, OR 97214-3628
Mailing address
1135 SE Salmon St
Suite L3
Portland, OR 97214-3628
Phone (503) 913-2704
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1669864054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 SE SALMON ST",
"address_2": "SUITE L3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143628",
"telephone_number": "503-913-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 SE SALMON ST",
"address_2": "SUITE L3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143628",
"telephone_number": "503-913-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENOLASINO",
"first_name": "MARIA",
"credential": "MS, CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Chad Lewis Menicosy
- Laurie Menk Otto, ND
- Forest Menke-Thielman
- Dawn Leslie Menken
- Menlo Park SNF Healthcare LLC (Menlo Park Post Acute)
- Menopause Northwest, LLC
- Mens Resource Center (Men's Resource Center/Women's Counseling Center)
- Mensch Therapy
- Mental Health & Addiction Therapy, LLC
- Mental Health Association of Oregon (The Peer Company)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.