Brianna C Abbey, MA, LPC, CADC 1
Individual provider Active NPI Professional Counselor · Portland, OR
NPI 1710133665 · NPPES record last updated Dec 28, 2021
Key facts
- NPI
- 1710133665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C4691 (OR)
- Practice address
- 3550 N Interstate Ave
Portland, OR 97227-1196 - Phone
- (800) 813-2000
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240314002130 | OR | Practitioner - Mental Health Counselor | 1557707387 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaverton Rehab & Specialty Care, LLC | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Volunteers of America Inc. | Past | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
500 NE Multnomah St
Fl 11
Portland, OR 97232
3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16-05-01 | OR | |
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | C4691 | OR | Yes |
Addresses
Primary practice location
3550 N Interstate Ave
Portland, OR 97227-1196
Mailing address
200 SE 7TH Ave
Portland, OR 97214-1200
Phone (503) 972-9537
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Portland, OR
- Atheir Ibrahim Abbas
- Nora Lisa Abbas
- Sally Abbass
- Soraya Ann Abbassian
- Thomas Abbatiello
- Kenneth R Abbey
- Anna Abbott
- Douglas R. Abbott
- Marissa Abbott
- Matthew Abbott
All providers in Portland, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.