Active NPI
Yiding Han, LMFT
- Marriage & Family Therapist
- Beaverton, OR
National Provider Identifier
1891341541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T-1893
- Practice address
- 167 NE 79TH Ave
Beaverton, OR 97006-6877 - Phone
- (503) 850-8484
- NPI assigned
- Aug 16, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61123449 | WA | |
| Marriage & Family Therapist | 106H00000X | 166001352 | IL | |
| Marriage & Family Therapist | 106H00000X | T-1893 | OR | Primary |
Addresses
Primary practice location
167 NE 79TH Ave
Beaverton, OR 97006-6877
Mailing address
4804 NW Bethany Blvd Ste I2
424
Portland, OR 97229-9195
Phone (503) 850-8484
Other names 1
- Ms. May Han
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2024 through Jan 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166001352 | IL | MD | Marriage & Family Therapist |
| T-1893 | OR | MD | Marriage & Family Therapist |
| LF61123449 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spark Relational Counseling, LLC | Current | Accepting new patients | |
| House Calls Behavioral Health, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Portland, OR
- NPI 1730940941
-
- Community/Behavioral Health Agency
- Wilmette, IL
- NPI 1801143052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1891341541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 NW BETHANY BLVD STE I2",
"address_2": "424",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972299195",
"telephone_number": "503-850-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 NE 79TH AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066877",
"telephone_number": "503-850-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "YIDING",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61123449",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166001352",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T-1893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAY",
"last_name": "HAN",
"prefix": "MS.",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.