Individual provider Active NPI

Raeshawn Chresfield, LPC, PHD

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1780138248
Registry record updated Oct 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4201 Issued in OR
Practice address
5415 SE Milwaukie Ave
Portland, OR 97202-4940
Phone
(503) 862-3286
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C4201 OR Primary

Addresses

Primary practice location

5415 SE Milwaukie Ave
Portland, OR 97202-4940

Mailing address

PO Box 20214
4048 NE 122 Avenue
Portland, OR 97294-0214
Phone (503) 862-3286

Other names 1

  • Dr. Rae Chresfield Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C4201ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477699200000",
    "number": "1780138248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20214",
            "address_2": "4048 NE 122 AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972940214",
            "telephone_number": "503-862-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024940",
            "telephone_number": "503-862-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRESFIELD",
        "first_name": "RAESHAWN",
        "name_prefix": "Dr.",
        "credential": "LPC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAE",
            "last_name": "CHRESFIELD",
            "prefix": "DR.",
            "credential": "LPC, PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 29, 2016; 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.