Active NPI
Bijan Madjlessi, LMFT
- Marriage & Family Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T2865
- Practice address
- 5441 S Macadam Ave Ste R
Portland, OR 97239-6106 - Phone
- (512) 677-7121
- NPI assigned
- Jan 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 103856 | CA | |
| Marriage & Family Therapist | 106H00000X | 116675 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT116675 | CA | |
| Marriage & Family Therapist | 106H00000X | T2865 | OR | Primary |
Addresses
Primary practice location
5441 S Macadam Ave Ste R
Portland, OR 97239-6106
Mailing address
5441 S Macadam Ave Ste a
Portland, OR 97239-6106
Other practice location 1
1550 Hotel Cir N Ste 450
San Diego, CA 92108-2933
Phone (619) 692-1581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11740 SW 68TH Pkwy
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6984
708 Main St
FL 10
Houston, TX 77002-3246
Phone (425) 640-7009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103856 | CA | MD | Mental Health Counselor |
| LMFT116675 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cyti Health PC | Multi-Specialty | Current | Accepting new patients |
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
| Psychiatric Centers at San Diego, Inc. Med GRP | Mental Health | Past | Accepting new patients |
| Mark David Levine, MD Burlingame PC | Past | Accepting new patients |
Locations
11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317
3111 Camino del Rio N
Ste 460
San Diego, CA 92108
402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939
5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100
11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216
708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436
1100 NW Loop 410
Ste 700
San Antonio, TX 78213
Phone (210) 241-4954
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Mental Health, OR, TX
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1679172290
Multi-Specialty
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
-
- Mental Health Counselor
- San Diego, CA
- NPI 1841241585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1760955397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE R",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106",
"telephone_number": "512-677-7121"
}
],
"practiceLocations": [
{
"address_1": "1550 Hotel Cir N Ste 450",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921082933",
"country_code": "US",
"telephone_number": "619-692-1581",
"fax_number": "619-692-1588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADJLESSI",
"first_name": "BIJAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "103856",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "116675",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT116675",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T2865",
"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 Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.