Tim Obrien LPC LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C1454 Issued in OR

Legal business name

TIM OBRIEN LPC LLC

Practice address

1506 SE Cutter LN
Vancouver, WA 98661-8084

Phone

(503) 853-6843

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Tim Obrien, LPC

Title

President

Phone

(503) 853-6843

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1831440130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W ARLINGTON ST",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272308",
            "telephone_number": "503-853-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 SE CUTTER LN",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618084",
            "telephone_number": "503-853-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM OBRIEN LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-853-6843",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Tibbits, PEER COUNSELOR
• Teresa Elaine Tidwell, MA, CDPT
• Sara Tiffany-Kent
• Bobbi Mae Tilley, RN, BSN
• Lydia Tillmaand
• Timberline Rehabilitation Service, PS
• Timberline Rehabilitation Services, PS
• Joshua Wade Timm
• Jacob Alexander Timmerman, MA
• Tracy Timmons, MD

• Community/Behavioral Health Agency in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.