Active NPI
Ludmilla Zuckman, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1851644231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3980
- Practice address
- 605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216 - Phone
- (503) 231-7480
- NPI assigned
- Oct 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C3980 | OR | |
| Professional Counselor | 101YP2500X | C3980 | OR | Primary |
Addresses
Primary practice location
605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216
Mailing address
605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216
Phone (503) 231-7480
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216
Phone (503) 231-7480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3980 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Community Services Northwest | Current | Accepting new patients | |
| Lutheran Community Services Northwest | Current | Accepting new patients | |
| Luda Counseling | Mental Health | Current | Accepting new patients |
Locations
605 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 731-9539
4040 S 188th St
Ste 300
Seatac, WA 98188
Phone (206) 816-3253
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1326056433
-
- Mental Health Counselor
- Vancouver, WA
- NPI 1912654484
-
- Community/Behavioral Health Agency
- McMinnville, OR
- NPI 1255542106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1851644231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 SE CESAR E CHAVEZ BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143216",
"telephone_number": "503-231-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 SE CESAR E CHAVEZ BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143216",
"telephone_number": "503-231-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKMAN",
"first_name": "LUDMILLA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C3980",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3980",
"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 Apr 7, 2021; 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.