Jodi Lietz Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

R3860 Issued in OR

Legal business name

JODI LIETZ COUNSELING, LLC

Practice address

1020 SW Taylor St
Suite 557
Portland, OR 97205-2543

Phone

(503) 710-9099

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jodi Marie Lietz, MS, LMFT INTERN

Title

Counselor

Phone

(360) 608-1010

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1780053868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 11TH AVE",
            "address_2": "UNIT 2701",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013532",
            "telephone_number": "360-608-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST",
            "address_2": "SUITE 557",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-710-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI LIETZ COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "LIETZ",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "360-608-1010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT INTERN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "R3860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena Jobin, PHARMD
• Jocelyn Kirnak, Inc.
• Kevin Patrick Jocham, MD
• Brian Jochim, DMD
• Ashley Jocz
• Joe Keeney Physical Therapy, Inc
• Joe Keeney Physical Therapy, Inc.
• Joel Amundson MD PC
• Frank Joerke, MD
• Kasey Stella Joffe, LPC

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.