Individual provider Active NPI

Rick D Ralston, LCSW

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1669923223
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1751 Issued in OR
Practice address
8280 NE Mauzey CT
Hillsboro, OR 97124-9092
Phone
(971) 380-3958
Fax
(503) 531-3841
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1751 OR Primary

Addresses

Primary practice location

8280 NE Mauzey CT
Hillsboro, OR 97124-9092

Mailing address

8280 NE Mauzey CT
Hillsboro, OR 97124-9092
Phone (971) 380-3958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307001229 OR Practitioner - Clinical Social Worker 4880978030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, 331 clinicians

Practice addresses (Care Compare)

21210 NW Mauzey Rd
Hillsboro, OR 97124-9327
Phone (503) 439-9531

8280 NE Mauzey CT
Hillsboro, OR 97124-9092
Phone (503) 439-9531

880 82ND Dr
Gladstone, OR 97027-1803
Phone (503) 659-5515

890 82ND Dr
Gladstone, OR 97027-1803
Phone (503) 659-5515

890 SE
82ND
Gladstone, OR 97027-1803
Phone (503) 659-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1751ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Clinical CurrentSince Mar 15, 2017 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince Mar 15, 2017 Accepting new patients
Western Psychological and Counseling Services PC PastSince Jul 24, 2022 Accepting new patients

Locations

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

8280 NE Mauzey Ct
Hillsboro, OR 97124
Phone (503) 439-9531

21210 NW Mauzey Rd
Hillsboro, OR 97124
Phone (503) 439-9531

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.rickralston@148835.advancedmd-direct.com

Organizations & group practices 3

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1669923223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 NE MAUZEY CT",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249092",
            "telephone_number": "971-380-3958",
            "fax_number": "503-531-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 NE MAUZEY CT",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249092",
            "telephone_number": "971-380-3958",
            "fax_number": "503-531-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "RICK",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.