Active NPI
Progressive Counseling Services, Inc
- Community/Behavioral Health Agency
- Beaverton, OR
National Provider Identifier
1831594696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PROGRESSIVE COUNSELING SERVICES, INC
- Practice address
- 3809 SW Hall Blvd
Beaverton, OR 97005-2049 - Phone
- (503) 477-7505
- Fax
- (503) 716-3839
- NPI assigned
- Oct 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Penrod
- Title
- Consultant
- Phone
- (305) 900-4715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3809 SW Hall Blvd
Beaverton, OR 97005-2049
Mailing address
3809 SW Hall Blvd
Beaverton, OR 97005-2049
Phone (503) 477-7505
National Provider Directory
National Provider DirectoryLocations
3809 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 477-7505
9226 SE Division St
Ste D
Portland, OR 97266
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
- NPI 1689093130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705017600000",
"number": "1831594696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052049",
"telephone_number": "503-477-7505",
"fax_number": "503-716-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052049",
"telephone_number": "503-477-7505",
"fax_number": "503-716-3839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE COUNSELING SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "PENROD",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "305-900-4715"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.