Individual provider Active NPI

Olivia Heitz

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1801558259
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
6011 NE Oregon St
Portland, OR 97213-4300
Phone
(971) 319-4827
Fax
(503) 662-6221
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

6011 NE Oregon St
Portland, OR 97213-4300

Mailing address

9133 N Allegheny Ave
Portland, OR 97203-2303
Phone (971) 319-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605000919 OR Practitioner - Mental Health Counselor 5092286591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Eastern Virginia Medical School, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9133 N Allegheny Ave
Portland, OR 97203-2303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Therapy PDX LLC CurrentSince Jun 29, 2025 Accepting new patients

Locations

6011 NE Oregon St
Ste 100
Portland, OR 97213
Phone (971) 319-4827

6011 NE Oregon St
Portland, OR 97213
Phone (971) 256-5766

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1801558259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 N ALLEGHENY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032303",
            "telephone_number": "971-319-4827",
            "fax_number": "503-662-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 NE OREGON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134300",
            "telephone_number": "971-319-4827",
            "fax_number": "503-662-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITZ",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.