Active NPI
With Connection LLC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1770320806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WITH CONNECTION LLC
- Practice address
- 1704 SE 22ND Ave
Portland, OR 97214-4848 - Phone
- (503) 473-2081
- NPI assigned
- Jul 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kate Statman-Weil, EDD, LCSW
- Title
- Director
- Phone
- (503) 473-2081
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
1704 SE 22ND Ave
Portland, OR 97214-4848
Mailing address
1704 SE 22ND Ave
Portland, OR 97214-4848
Phone (503) 473-2081
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1770320806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 SE 22ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144848",
"telephone_number": "503-473-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 SE 22ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144848",
"telephone_number": "503-473-2081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WITH CONNECTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "STATMAN-WEIL",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "503-473-2081",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD, LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"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 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.