Active NPI
Niccolette Ramsey, MA, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1891087581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3866
- Practice address
- 631 NE 102ND Ave
Portland, OR 97220-4004 - Phone
- (503) 730-8474
- Fax
- (888) 224-1421
- NPI assigned
- May 12, 2011
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4185 | NE | |
| Professional Counselor | 101YP2500X | 2052 | NE | |
| Professional Counselor | 101YP2500X | C3866 | OR | Primary |
Addresses
Primary practice location
631 NE 102ND Ave
Portland, OR 97220-4004
Mailing address
631 NE 102ND Ave
Portland, OR 97220-4004
Phone (503) 730-8474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4185 | NE | MD | Mental Health Counselor |
| C3866 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1891087581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204004",
"telephone_number": "503-730-8474",
"fax_number": "888-224-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204004",
"telephone_number": "503-730-8474",
"fax_number": "888-224-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMSEY",
"first_name": "NICCOLETTE",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4185",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "2052",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3866",
"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 Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.