Active NPI
Richard J Viola, QMHP
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1750531158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 12360 E Burnside St
Portland, OR 97233 - Phone
- (971) 279-4800
- Fax
- (971) 279-2051
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | OR | Primary |
Addresses
Primary practice location
12360 E Burnside St
Portland, OR 97233
Mailing address
2575 NW Raleigh St
Portland, OR 97210-2452
Phone (303) 482-6919
Other practice location 1
11211 SE 82nd Ave Ste O
Happy Valley, OR 97086
Phone (503) 742-5335
Other practice location 2
1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 443-8500
Other practice location 3
58646 McNulty Way
Saint Helens, OR 97051
Phone (503) 397-5211
Other practice location 4
12360 E Burnside St
Portland, OR 97233
Phone (971) 279-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500743726 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1750531158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 NW RALEIGH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102452",
"telephone_number": "303-482-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12360 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97233",
"telephone_number": "971-279-4800",
"fax_number": "971-279-2051"
}
],
"practiceLocations": [
{
"address_1": "11211 SE 82nd Ave Ste O",
"address_purpose": "LOCATION",
"city": "Happy Valley",
"state": "OR",
"postal_code": "97086",
"country_code": "US",
"telephone_number": "503-742-5335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1333 Iris Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803042226",
"country_code": "US",
"telephone_number": "303-443-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "58646 McNulty Way",
"address_purpose": "LOCATION",
"city": "Saint Helens",
"state": "OR",
"postal_code": "97051",
"country_code": "US",
"telephone_number": "503-397-5211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12360 E Burnside St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97233",
"country_code": "US",
"telephone_number": "971-279-4800",
"fax_number": "971-279-2051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIOLA",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "QMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500743726",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.