Active NPI
Molly McMenamin
- Mental Health Counselor
- Tigard, OR
National Provider Identifier
1669927570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 8915 SW Center St
Tigard, OR 97223-6307 - Phone
- (866) 949-7196
- NPI assigned
- Aug 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | Primary |
Addresses
Primary practice location
8915 SW Center St
Tigard, OR 97223-6307
Mailing address
3850 NE Sumner St
Portland, OR 97211-8069
Phone (503) 780-3143
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471651200000",
"number": "1669927570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 NE SUMNER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972118069",
"telephone_number": "503-780-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 SW CENTER ST",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236307",
"telephone_number": "866-949-7196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMENAMIN",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-20",
"last_updated": "2016-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.