Individual provider Active NPI

Anna Kim Schulz, MA, LCPC, LPC

  • Mental Health Counselor
  • Hillsboro, OR
National Provider Identifier
1780149955
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-REN-58203. Issued in MT
Practice address
3000 NE Stucki Ave Ste 230
Hillsboro, OR 97124-7328
Phone
(503) 591-8322
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C6599 OR
Mental Health Counselor 101YM0800X BBH-LCPC-REN-58203. MT Primary

Addresses

Primary practice location

3000 NE Stucki Ave Ste 230
Hillsboro, OR 97124-7328

Mailing address

103 Ponderosa LN Ste B
Kalispell, MT 59901-6833
Phone (406) 272-5996

Other identifiers 1

IdentifierTypeStateIssuer
BBH-LCPC-REN-58203OtherMTLCPC

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-REN-58203.MTMDMental Health Counselor
C6599ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Values Counseling. LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1780149955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PONDEROSA LN STE B",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016833",
            "telephone_number": "406-272-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NE STUCKI AVE STE 230",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247328",
            "telephone_number": "503-591-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "ANNA",
        "middle_name": "KIM",
        "credential": "MA, LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6599",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-REN-58203.",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "BBH-LCPC-REN-58203",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.