Active NPI
Erin Leigh Spencer
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1679768188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1424
- Practice address
- 510 SW 3Rd Ave Ste 200
Portland, OR 97204 - Phone
- (503) 389-5894
- NPI assigned
- Sep 7, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF63447 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT84530 | CA | |
| Marriage & Family Therapist | 106H00000X | T1424 | OR | Primary |
Addresses
Primary practice location
510 SW 3Rd Ave Ste 200
Portland, OR 97204
Mailing address
462 SW Valeria View Dr Apt 105
Portland, OR 97225-7085
Phone (714) 655-4813
Other practice location 1
9123 SE Saint Helens St Ste 270B
Clackamas, OR 97015-6801
Phone (855) 583-2842
Other names 1
- Erin Leigh Parks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF63447 | CA | MD | Marriage & Family Therapist |
| LMFT84530 | CA | MD | Marriage & Family Therapist |
| 84530 | CA | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Licensed Psychology Associates LLC | Marriage & Family Therapist | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Clackamas, OR
- NPI 1376083261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1679768188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 SW VALERIA VIEW DR APT 105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972257085",
"telephone_number": "714-655-4813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SW 3RD AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97204",
"telephone_number": "503-389-5894"
}
],
"practiceLocations": [
{
"address_1": "9123 SE Saint Helens St Ste 270B",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970156801",
"country_code": "US",
"telephone_number": "855-583-2842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "ERIN",
"middle_name": "LEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF63447",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT84530",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "PARKS",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.