Individual provider Active NPI

Heide Amber Perry-Bringman, MA LPC LMHC NCC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1780872465
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1839 Issued in OR
Practice address
2303 E Burnside St
Portland, OR 97214-1655
Phone
(360) 241-0871
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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 C1839 OR Primary
Mental Health Counselor 101YM0800X LH00009398 WA

Addresses

Primary practice location

2303 E Burnside St
Portland, OR 97214-1655

Mailing address

8816 SE Morrison St
Portland, OR 97216-1727
Phone (360) 241-0871

Other names 1

  • Ms. Heide Amber Perry Former 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
Master of Arts

State licenses

LicenseStateTypeSpecialty
C1839ORMDMental Health Counselor
LH00009398WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barefoot and Balanced, LLC PastSince Apr 24, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1780872465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 SE MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161727",
            "telephone_number": "360-241-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141655",
            "telephone_number": "360-241-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY-BRINGMAN",
        "first_name": "HEIDE",
        "middle_name": "AMBER",
        "name_prefix": "Ms.",
        "credential": "MA LPC LMHC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1839",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDE",
            "last_name": "PERRY",
            "middle_name": "AMBER",
            "prefix": "MS.",
            "credential": "MA LPC LMHC NCC",
            "code": "1",
            "type": "Former 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 9, 2007; 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.