Individual provider Active NPI

Yiding Han, LMFT

  • Marriage & Family Therapist
  • Beaverton, OR
National Provider Identifier
1891341541
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T-1893 Issued in OR
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

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
166001352ILMDMarriage & Family Therapist
T-1893ORMDMarriage & Family Therapist
LF61123449WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Relational Counseling, LLC Current Accepting new patients
House Calls Behavioral Health, P.C. PastSince Aug 1, 2019 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.

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

Verify at the official NPI Registry.