Active NPI
Emily Fagan, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1770179152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C7728
- Practice address
- 9201 SE Foster Rd Ste 205&206
Portland, OR 97266-4644 - Phone
- (503) 549-4714
- Fax
- (503) 506-0441
- NPI assigned
- Dec 18, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C7728 | OR | Primary |
Addresses
Primary practice location
9201 SE Foster Rd Ste 205&206
Portland, OR 97266-4644
Mailing address
PO Box 90309
Portland, OR 97290-0309
Phone (503) 549-4714
Other practice location 1
959 SE Division St Ste 520
Portland, OR 97214-4672
Phone (503) 549-4714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7728 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightways Counseling Group LLC | Current | Accepting new patients | |
| Bright Horizons Psychiatric Group LLC | Current | Accepting new patients | |
| Second Growth Counseling LLC | Professional | Past | Accepting new patients |
Locations
2901 E Burnside St
Portland, OR 97214
Phone (503) 230-9875
7515 Falcon Crest Dr
#200
Redmond, OR 97756
Organizations & group practices 3
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.
-
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Redmond, OR
- NPI 1629724695
-
- Group Psychotherapy Psychologist
- Redmond, OR
- NPI 1689191165
-
- Professional Counselor
- Portland, OR
- NPI 1871083691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1770179152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90309",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972900309",
"telephone_number": "503-549-4714",
"fax_number": "503-506-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 SE FOSTER RD STE 205&206",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972664644",
"telephone_number": "503-549-4714",
"fax_number": "503-506-0441"
}
],
"practiceLocations": [
{
"address_1": "959 SE Division St Ste 520",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972144672",
"country_code": "US",
"telephone_number": "503-549-4714",
"fax_number": "503-506-0441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAGAN",
"first_name": "EMILY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C7728",
"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 Jul 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.