Individual provider Active NPI

Denise Julie Hockley, LMFT

  • Marriage & Family Therapist
  • Beaverton, OR
National Provider Identifier
1720340516
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1513 Issued in OR
Practice address
16055 SW Walker Rd Ste 155
Beaverton, OR 97006-4942
Phone
(760) 822-7729
Fax
(626) 581-5251
NPI assigned
Jun 8, 2012
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 30255 CA
Marriage & Family Therapist 106H00000X T1513 OR Primary

Addresses

Primary practice location

16055 SW Walker Rd Ste 155
Beaverton, OR 97006-4942

Mailing address

16055 SW Walker Rd Ste 155
Beaverton, OR 97006-4942
Phone (760) 822-7729

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
I20240307003241 OR Practitioner - Marriage and Family Therapist 0042656456 Practice locations: Beaverton, OR

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Beaverton, OR 97006
Phone (760) 822-7729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T1513ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1720340516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 SW WALKER RD STE 155",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064942",
            "telephone_number": "760-822-7729",
            "fax_number": "626-581-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 SW WALKER RD STE 155",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064942",
            "telephone_number": "760-822-7729",
            "fax_number": "626-581-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKLEY",
        "first_name": "DENISE",
        "middle_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "30255",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.