NPIMap

Organization Active NPI

The DBT Clinic, PC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1801203765
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1278 Issued in OR
Legal business name
THE DBT CLINIC, PC
Practice address
2104 SE Morrison St
Portland, OR 97214-2825
Phone
(971) 285-6545
Fax
(503) 764-9483
NPI assigned
Jul 11, 2014
Last updated
Feb 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Mr. Lawrence Martin Smith, LPCNPI 1225099179
Title
President
Phone
(503) 280-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1278 OR Primary

Addresses

Primary practice location

2104 SE Morrison St
Portland, OR 97214-2825

Mailing address

2104 SE Morrison St
Portland, OR 97214-2825
Phone (971) 285-6545

National Provider Directory

National Provider Directory

Locations

2104 SE Morrison St
Portland, OR 97214
Phone (503) 875-4836

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1801203765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 SE MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142825",
            "telephone_number": "971-285-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 SE MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142825",
            "telephone_number": "971-285-6545",
            "fax_number": "503-764-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DBT CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-280-8888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 4, 2019; 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.