Annie Munson-Phelps, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1254 Issued in OR

Legal business name

ANNIE MUNSON-PHELPS, LLC

Practice address

1135 SE Salmon St
#102
Portland, OR 97214-3375

Phone

(503) 956-8907

NPI assigned

Apr 5, 2017

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anne Munson-Phelps, LMFTNPI 1932484797

Title

Marriage and Family Therapist

Phone

(503) 956-8907

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, and the practitioner matching its NPPES authorized official.

• Anne Munson-Phelps, LMFT

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1932484797
  NPD Authorized official

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1700319803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 SE 54TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065661",
            "telephone_number": "503-956-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 SE SALMON ST",
            "address_2": "#102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143375",
            "telephone_number": "503-956-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE MUNSON-PHELPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "MUNSON-PHELPS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "503-956-8907",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.