Active NPI
Gina Marie Batliner, LPC
- Counselor
- Portland, OR
National Provider Identifier
1891821336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2410 SE 121St Ave Ste 216
Portland, OR 97216-4085 - Phone
- (503) 335-5974
- NPI assigned
- Feb 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C4123 | OR | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2410 SE 121St Ave Ste 216
Portland, OR 97216-4085
Mailing address
18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607
Phone (503) 612-1000
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4123 | OR | MD | Mental Health Counselor |
Interoperability endpoints
- lifestancehealth.ginabatliner@148835.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1891821336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18765 SW BOONES FERRY RD STE 100",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628607",
"telephone_number": "503-612-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 SE 121ST AVE STE 216",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972164085",
"telephone_number": "503-335-5974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATLINER",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C4123",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 Feb 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.