Northside Family Counseling, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L1330 Issued in OR

Legal business name

NORTHSIDE FAMILY COUNSELING, INC

Practice address

51579 Columbia River Hwy
Ste 'I'
Scappoose, OR 97056-8411

Phone

(503) 543-6164

Fax

(503) 543-6040

NPI assigned

Dec 27, 2006

Last updated

Nov 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles E Rahe, LCSWNPI 1932188547

Title

Director

Phone

(503) 543-6164

Specialties & licenses 3

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Evan Rahe, LCSW

  • Clinical Social Worker
  • Scappoose, OR
  • NPI 1932188547
  Authorized official Same address or phone
• Lesley V Alter, LCSW

  • Mental Health Counselor
  • Tigard, OR
  • NPI 1013079797
  NPD (past)
• Beverly Schwartz, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1083784599
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1871658997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51579 COLUMBIA RIVER HWY",
            "address_2": "STE 'I'",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970568411",
            "telephone_number": "503-543-6164",
            "fax_number": "503-543-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51579 COLUMBIA RIVER HWY",
            "address_2": "STE 'I'",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970568411",
            "telephone_number": "503-543-6164",
            "fax_number": "503-543-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE FAMILY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "RAHE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-543-6164",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2799",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1330",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Burtment McKnight III, CADCII
• Melissa Perloff McLane, BCFNP
• Richard William Moberly II, MD
• Thomas Francis Moquin, CRNA
• David Mora Egurrola, DPT
• Jacob Olson, DMD
• Oregon Aero, Inc.
• Oregon Health & Science University (OHSU Family Medicine at Scappoose)
• Orthopedic & Sports Medicine Center of Or LLC
• Andrew Paul, LMHC

• Clinical Social Worker in Scappoose, OR
• Providers in Scappoose, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.