Active NPI
Anya Valsamakis, LCSW
- Community/Behavioral Health Agency
- Portland, OR
National Provider Identifier
1871875070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- L6075
- Practice address
- 1235 SE Division Su 204
Portland, OR 97202 - Phone
- (503) 415-1383
- NPI assigned
- Sep 13, 2011
- Last updated
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L6075 | OR | |
| Community/Behavioral Health Agency | 251S00000X | |||
| Community/Behavioral Health Agency | 251S00000X | L6075 | OR | Primary |
Addresses
Primary practice location
1235 SE Division Su 204
Portland, OR 97202
Mailing address
3135 SE Ankeny St Unit B
Portland, OR 97214-1941
Phone (503) 281-3298
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
- Opted out of Medicare
- Yes, effective Jun 26, 2017 through Jun 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6075 | OR | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1871875070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3135 SE ANKENY ST UNIT B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141941",
"telephone_number": "503-281-3298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 SE DIVISION SU 204",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97202",
"telephone_number": "503-415-1383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALSAMAKIS",
"first_name": "ANYA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6075",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OR",
"license": "L6075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Robert Vallely
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- Wanda Valles Pacheco
- Luis A Valls, MD
- Anusha Vallurupalli, M.D.
- Value Creation Educational and Counseling Services PDX LLC (Value Creation Counseling PDX, LLC)
- Value Creation Educational and Counseling Services PDX LLC
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- Valued Insight Psychotherapy, LLC
- Thomas Joseph Valvano, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.