Rebecca Rose Wara-Goss, LMFT, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1271 Issued in OR

Practice address

515 NW Saltzman Rd # 744
Portland, OR 97229-6098

Phone

(503) 388-6955

NPI assigned

Sep 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Forward Stride

  • Rehabilitation Clinic/Center
  • Beaverton, OR
  • NPI 1255865663
  NPD (past)
• Forwardstride

  • Prevention Professional
  • Beaverton, OR
  • NPI 1194260927
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1851674451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NW SALTZMAN RD # 744",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NW SALTZMAN RD # 744",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296098",
            "telephone_number": "503-388-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 NW 169th Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067310",
            "country_code": "US",
            "telephone_number": "503-388-6955",
            "fax_number": "971-864-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Meadows Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "97035",
            "country_code": "US",
            "telephone_number": "503-726-5216",
            "fax_number": "503-726-5218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Meadows Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "97035",
            "country_code": "US",
            "telephone_number": "503-726-5216",
            "fax_number": "503-726-5218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18218 SW Horse Tale Dr",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970079789",
            "country_code": "US",
            "telephone_number": "503-590-2959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARA-GOSS",
        "first_name": "REBECCA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "LMFT, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1271",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael James Wanninger, RN BSN
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• Warby Parker Inc.
• Warby Parker Inc.
• Adam Douglas Ward, DMD
• Ann Grummel Ward, ANP, PMHNP

• Marriage & Family Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.