Individual provider Active NPI

Ember Vonletkemann, LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1679754493
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2014 Issued in OR
Practice address
1020 SW Taylor St Ste 660
Portland, OR 97205-2559
Phone
(503) 347-0171
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2014 OR Primary

Addresses

Primary practice location

1020 SW Taylor St Ste 660
Portland, OR 97205-2559

Mailing address

1020 SW Taylor St Ste 660
Portland, OR 97205-2559
Phone (503) 347-0171

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

State licenses

LicenseStateTypeSpecialty
C2014ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Embodyment Counseling Mental Health CurrentSince Mar 3, 2024 Accepting new patients

Locations

1020 SW Taylor St
Ste 660
Portland, OR 97205
Phone (503) 896-4499

Organizations & group practices 1

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1679754493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 660",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052559",
            "telephone_number": "503-347-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 660",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052559",
            "telephone_number": "503-347-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONLETKEMANN",
        "first_name": "EMBER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.