Hidden Vision LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HIDDEN VISION LLC

Practice address

1020 SW Taylor St Ste 535
Portland, OR 97205-2527

Phone

(503) 841-7211

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Atalla, MS, CRC, LPCNPI 1700627445

Title

Owner

Phone

(503) 841-7211

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.

• Jessica Marie Atalla, CRC, LPC

  • Professional Counselor
  • Portland, OR
  • NPI 1700627445
  NPD Authorized official

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1740023019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 535",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052527",
            "telephone_number": "503-841-7211",
            "fax_number": "503-841-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 535",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052527",
            "telephone_number": "503-841-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "ATALLA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-841-7211",
        "authorized_official_credential": "MS, CRC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.