Individual provider Active NPI

Danell M Boggs

  • Mental Health Counselor
  • Tillamook, OR
National Provider Identifier
1699165449
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
801 Pacific Ave
Tillamook, OR 97141-3926
Phone
(503) 842-3900
Fax
(503) 842-3903
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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 Primary

Addresses

Primary practice location

801 Pacific Ave
Tillamook, OR 97141-3926

Mailing address

PO Box 489
Tillamook, OR 97141-0489
Phone (503) 842-3900

Other names 1

  • Danell M Boggs Other name

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
I20180222002985 OR Practitioner - Clinical Social Worker 0648531285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
County of TillamookGroup PAC ID 3173411287, 9 clinicians

Practice addresses (Care Compare)

800 Main Ave
Suite a
Tillamook, OR 97141-3760
Phone (503) 842-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightways Counseling Group LLC CurrentSince Feb 1, 2026 Accepting new patients
County of Tillamook CurrentSince Jan 30, 2019 Accepting new patients
County of Tillamook CurrentSince Jan 30, 2019 Accepting new patients
Tillamook Family Counseling Center Past Accepting new patients
Bright Horizons Psychiatric Group LLC PastSince Mar 6, 2022 Accepting new patients

Locations

12672 SE Stark St
Portland, OR 97233
Phone (503) 546-9975

2901 E Burnside St
Portland, OR 97214
Phone (503) 230-9875

7515 Falcon Crest Dr
#200
Redmond, OR 97756

800 Main Ave
Ste A
Tillamook, OR 97141
Phone (503) 842-3900

801 Pacific Ave
Tillamook, OR 97141
Phone (503) 842-3900

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tfcc/r4/

Organizations & group practices 5

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1699165449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971410489",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PACIFIC AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413926",
            "telephone_number": "503-842-3900",
            "fax_number": "503-842-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "DANELL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANELL",
            "last_name": "BOGGS",
            "middle_name": "M",
            "credential": "B.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tillamook, OR

Sources for this page

Verify at the official NPI Registry.