Active NPI
Melissa Parr, MA, LPC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1770724072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1425 N Killingsworth St
Portland, OR 97217-4541 - Phone
- (503) 575-9402
- Fax
- (888) 769-4431
- NPI assigned
- Mar 16, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1425 N Killingsworth St
Portland, OR 97217-4541
Mailing address
1425 N Killingsworth St
Portland, OR 97217-4541
Phone (503) 575-9402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2840 | Other | OR | BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251218003829 | OR | Practitioner - Mental Health Counselor | 4385139179 | Practice locations: Beaverton, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16110 SW Regatta LN
Beaverton, OR 97006-8942
Phone (971) 314-4910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344124800000",
"number": "1770724072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 N KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174541",
"telephone_number": "503-575-9402",
"fax_number": "888-769-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174541",
"telephone_number": "503-575-9402",
"fax_number": "888-769-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARR",
"first_name": "MELISSA",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2012-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS",
"identifier": "C2840",
"state": "OR"
}
],
"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 Aug 5, 2012; 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.