Active NPI
Zoe A Bartlett
- Marriage & Family Therapist
- Astoria, OR
National Provider Identifier
1871155432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1641
- Practice address
- 10 Pier 1 Ste 204
Astoria, OR 97103-6328 - Phone
- (971) 351-3737
- NPI assigned
- Jul 3, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18-R-06 | OR | |
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | T1641 | OR | Primary |
Addresses
Primary practice location
10 Pier 1 Ste 204
Astoria, OR 97103-6328
Mailing address
10 Pier 1 Ste 204
Astoria, OR 97103-6328
Other practice location 1
3200 Juanipero Way
Medford, OR 97504-8580
Phone (541) 816-4131
Other practice location 2
2577 NE Courtney Dr
Bend, OR 97701-7752
Phone (541) 322-7500
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240426000569 | OR | Practitioner - Marriage and Family Therapist | 6002256872 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-R-06 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Counseling LLC | Current | Accepting new patients |
Locations
10 Pier 1
Ste 204
Astoria, OR 97103
Phone (503) 789-6850
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.
-
- Clinical Social Worker
- Astoria, OR
- NPI 1437548807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599264000000",
"number": "1871155432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PIER 1 STE 204",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971036328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PIER 1 STE 204",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971036328",
"telephone_number": "971-351-3737"
}
],
"practiceLocations": [
{
"address_1": "3200 Juanipero Way",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975048580",
"country_code": "US",
"telephone_number": "541-816-4131",
"fax_number": "458-226-2163",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2577 NE Courtney Dr",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977017752",
"country_code": "US",
"telephone_number": "541-322-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTLETT",
"first_name": "ZOE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2020-09-05",
"certification_date": "2020-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "18-R-06",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.