John S. Auerbach, LCP-INTERN

Primary specialty

CounselorTaxonomy code 101Y00000X

License

R6055 Issued in OR

Practice address

1785 NE Sandy Blvd Ste 270
Portland, OR 97232-2791

Phone

(503) 622-8964

Fax

(503) 715-5469

NPI assigned

Apr 15, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larsen Sanchez Psychology LLCGroup PAC ID 6608138383, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Larsen Sanchez Psychology, LLC

  dba Portland Mental Health & Wellness

  • Clinical Psychologist
  • Portland, OR
  • NPI 1588041388
  Medicare reassignment Care Compare group
• Portland Neurofeedback, LLC

  dba The PATH Center

  • Mental Health Counselor
  • Portland, OR
  • NPI 1558875476
  NPD

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1821617267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021898",
            "telephone_number": "503-622-8964",
            "fax_number": "503-715-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 NE SANDY BLVD STE 270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322791",
            "telephone_number": "503-622-8964",
            "fax_number": "503-715-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972021898",
            "country_code": "US",
            "telephone_number": "503-622-8964",
            "fax_number": "503-715-5469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "JOHN",
        "middle_name": "S.",
        "credential": "LCP-INTERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "R6055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Rebecca Audley
• Audra Erickson, LMT
• Clare Ashley Audrain, RN
• Audrey Czerew, Msaom, L.Ac. LLC
• Misty Auel
• Peter Auerbach, MD
• Claire Aufderheide
• Jules John Auger, D.MIN.
• Robert J Augur Jr.
• Anita August, PT

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.