Active NPI
Monika Tippie
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1720503592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T221
- Practice address
- 25 NW 23Rd Place Ste 6
#385
Portland, OR 97210 - Phone
- (503) 847-9720
- NPI assigned
- Aug 14, 2017
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 101599 | CA | |
| Marriage & Family Therapist | 106H00000X | 130759 | CA | |
| Marriage & Family Therapist | 106H00000X | T221 | OR | Primary |
Addresses
Primary practice location
25 NW 23Rd Place Ste 6
#385
Portland, OR 97210
Mailing address
25 NW 23Rd Place Ste 6
#385
Portland, OR 97210
Phone (503) 847-9720
Other names 1
- Monica Tippie
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101599 | CA | MD | Marriage & Family Therapist |
| 130759 | CA | MD | Marriage & Family Therapist |
| T221 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1720503592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NW 23RD PLACE STE 6",
"address_2": "#385",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-847-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NW 23RD PLACE STE 6",
"address_2": "#385",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-847-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPPIE",
"first_name": "MONIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "101599",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "130759",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "TIPPIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.