NPIMap

Organization Active NPI

Whole Systems Counseling and Consultation

  • Adult Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1780026534
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
387035-91 Issued in OR
Legal business name
WHOLE SYSTEMS COUNSELING AND CONSULTATION
Practice address
12672 SE Stark St BLDG a
Portland, OR 97233-1058
Phone
(503) 657-0072
Fax
(503) 719-6345
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Johneen MannoNPI 1457793200
Title
Business Owner
Phone
(503) 657-0072

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 387035-91 OR Primary

Addresses

Primary practice location

12672 SE Stark St BLDG a
Portland, OR 97233-1058

Mailing address

12672 SE Stark St BLDG a
Portland, OR 97233-1058

National Provider Directory

National Provider Directory

Locations

12672 SE Stark St
Bldg A
Portland, OR 97233
Phone (503) 657-0072

Practitioners & 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": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1780026534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12672 SE STARK ST BLDG A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12672 SE STARK ST BLDG A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331058",
            "telephone_number": "503-657-0072",
            "fax_number": "503-719-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE SYSTEMS COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "MANNO",
        "authorized_official_first_name": "JOHNEEN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "503-657-0072"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "387035-91",
            "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 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.