Meredith Mirsepassi Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

C4140 Issued in OR

Legal business name

MEREDITH MIRSEPASSI COUNSELING

Practice address

25030 SW Parkway Ave Ste 1045
Wilsonville, OR 97070-9603

Phone

(503) 544-7962

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Meredith Mirsepassi, LPC, CADCINPI 1235653379

Title

Sole Proprietor

Phone

(503) 544-7962

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith Marie Mirsepassi, LPC, CADCI

  • Mental Health Counselor
  • Wilsonville, OR
  • NPI 1235653379
  NPD Authorized official

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1679074785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25030 SW PARKWAY AVE STE 1045",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709603",
            "telephone_number": "503-544-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25030 SW PARKWAY AVE STE 1045",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709603",
            "telephone_number": "503-544-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH MIRSEPASSI COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "MIRSEPASSI",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "503-544-7962",
        "authorized_official_credential": "LPC, CADCI"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "C4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.