Active NPI
Anna Kim Schulz, MA, LCPC, LPC
- Mental Health Counselor
- Hillsboro, OR
National Provider Identifier
1780149955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BBH-LCPC-REN-58203.
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BBH-LCPC-REN-58203 | Other | MT | LCPC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-REN-58203. | MT | MD | Mental Health Counselor |
| C6599 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hillsboro, OR
- NPI 1407322720
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.