Active NPI
Nichole Hoffman, MS NCC LSC
- Professional Counselor
- Corvallis, OR
National Provider Identifier
1700509650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R7981
- Practice address
- 230 SW 3Rd St Ste 311
Corvallis, OR 97333-4652 - Phone
- (541) 257-8689
- NPI assigned
- Sep 26, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| School Counselor | 101YS0200X | 105446 | OR | |
| Professional Counselor | 101YP2500X | R7981 | OR | Primary |
Addresses
Primary practice location
230 SW 3Rd St Ste 311
Corvallis, OR 97333-4652
Mailing address
7580 NE Logsdon Rd
Corvallis, OR 97330-9278
Phone (541) 257-8689
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7981 | OR | MD | Professional Counselor |
| 105446 | OR | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1700509650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7580 NE LOGSDON RD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973309278",
"telephone_number": "541-257-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 SW 3RD ST STE 311",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334652",
"telephone_number": "541-257-8689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "NICHOLE",
"credential": "MS NCC LSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "OR",
"license": "105446",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R7981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.