Active NPI
Mariah Meyer Lefeber, MA LPC BC-DMT DTRL
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1760659270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12-037
- Practice address
- 8435 NE Glisan St
Portland, OR 97220-5814 - Phone
- (503) 251-6714
- NPI assigned
- May 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4382-125 | WI | |
| Mental Health Counselor | 101YM0800X | 12-037 | WI | Primary |
Addresses
Primary practice location
8435 NE Glisan St
Portland, OR 97220-5814
Mailing address
8435 NE Glisan St
Portland, OR 97220-5814
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-037 | WI | MD | Mental Health Counselor |
| 4382-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Common Threads Family Resource Center | Past | Accepting new patients | |
| Catholic Charities, Inc. Roman Catholic Diocese | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- MC Farland, WI
- NPI 1962752402
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1386808384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1760659270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8435 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8435 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205814",
"telephone_number": "503-251-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEBER",
"first_name": "MARIAH",
"middle_name": "MEYER",
"name_prefix": "Mrs.",
"credential": "MA LPC BC-DMT DTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4382-125",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "12-037",
"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 Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.