Individual provider Active NPI

Susan Shimokaji, LMFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1831698331
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2276 Issued in OR
Practice address
12909 SW 68TH Pkwy Ste 100
Portland, OR 97223-8389
Phone
(971) 213-5025
Fax
(971) 228-5431
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T2276 OR Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

12909 SW 68TH Pkwy Ste 100
Portland, OR 97223-8389

Mailing address

609 NE Baker St Ste 260
McMinnville, OR 97128-4950
Phone (971) 402-9066

Other practice location 1

7175 SW Beveland Rd Ste 200
Tigard, OR 97223-8665
Phone (971) 213-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10742 SW Heron PL
Beaverton, OR 97007-6192

609 NE Baker St
Suite 260
McMinnville, OR 97128-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T2276ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fir Counseling, LLC Mental Health CurrentSince Dec 14, 2025 Accepting new patients

Locations

609 NE Baker St
Ste 260
McMinnville, OR 97128
Phone (971) 213-5025

12909 SW 68th Pkwy
Ste 100
Portland, OR 97223
Phone (971) 213-5025

7175 SW Beveland Rd
Ste 200
Tigard, OR 97223
Phone (503) 395-5122

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": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1831698331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NE BAKER ST STE 260",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284950",
            "telephone_number": "971-402-9066",
            "fax_number": "971-228-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12909 SW 68TH PKWY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238389",
            "telephone_number": "971-213-5025",
            "fax_number": "971-228-5431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7175 SW Beveland Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238665",
            "country_code": "US",
            "telephone_number": "971-213-5025",
            "fax_number": "971-228-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIMOKAJI",
        "first_name": "SUSAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2276",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.