Active NPI
Donna Prinzmetal, MA., LMFT
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1750620217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0343
- Practice address
- 7929 SW 37TH Ave Ste C
Portland, OR 97219-3663 - Phone
- (503) 201-8865
- NPI assigned
- Feb 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0343 | OR | Primary |
Addresses
Primary practice location
7929 SW 37TH Ave Ste C
Portland, OR 97219-3663
Mailing address
5308 SW 33Rd Dr
Portland, OR 97239-1121
Phone (503) 201-8865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0343 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1750620217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 SW 33RD DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391121",
"telephone_number": "503-201-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7929 SW 37TH AVE STE C",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193663",
"telephone_number": "503-201-8865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINZMETAL",
"first_name": "DONNA",
"name_prefix": "Ms.",
"credential": "MA., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-04",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0343",
"primary": true
}
],
"identifiers": [],
"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 Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.