NPIMap

Organization Active NPI

Fifth Avenue Counseling & Consulting

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1821276411
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C0630 Issued in OR
Legal business name
FIFTH AVENUE COUNSELING & CONSULTING
Practice address
1312 SW 16TH Ave
#103
Portland, OR 97201-2516
Phone
(503) 295-7974
Fax
(503) 295-3727
NPI assigned
Feb 5, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mr. Peter Barbur, LPCNPI 1992861108
Title
Principal
Phone
(503) 295-7974

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1784 OR
Professional Counselor 101YP2500X C2116 OR
Professional Counselor 101YP2500X C0630 OR Primary

Addresses

Primary practice location

1312 SW 16TH Ave
#103
Portland, OR 97201-2516

Mailing address

1312 SW 16TH Ave
#103
Portland, OR 97201-2516
Phone (503) 295-7974

National Provider Directory

National Provider Directory

Locations

1312 SW 16th Ave
Ste 103
Portland, OR 97201
Phone (503) 295-7974

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1821276411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 SW 16TH AVE",
            "address_2": "#103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012516",
            "telephone_number": "503-295-7974",
            "fax_number": "503-295-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 SW 16TH AVE",
            "address_2": "#103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012516",
            "telephone_number": "503-295-7974",
            "fax_number": "503-295-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BARBUR",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "503-295-7974",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1784",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2116",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C0630",
            "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 6, 2008; 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.