NPIMap

Organization Active NPI

Northwest Counseling Associates, LLC

Doing business as NW Counseling Associates

  • Adolescent and Children Mental Health Clinic/Center
  • Beaverton, OR
National Provider Identifier
1922498914
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
C2470 Issued in OR
Legal business name
NORTHWEST COUNSELING ASSOCIATES, LLC
Doing business as
NW Counseling Associates
Practice address
4900 SW Griffith Drive
St 157
Beaverton, OR 97005-5607
Phone
(503) 444-8230
Fax
(503) 295-4036
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Heather Vliet, LPCNPI 1295065704
Title
Owner
Phone
(503) 869-4071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X C2470 OR Primary

Addresses

Primary practice location

4900 SW Griffith Drive
St 157
Beaverton, OR 97005-5607

Mailing address

4900 SW Griffith Drive
St 157
Beaverton, OR 97005-7107
Phone (503) 869-4071

Other names 1

  • NW Counseling Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250731004140 OR Part B Supplier - Clinic/Group Practice 2769990811 Receives reassigned benefits from 4 practitioners
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

4900 SW Griffith Dr
Ste 157
Beaverton, OR 97005
Phone (503) 444-8230

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1922498914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DRIVE",
            "address_2": "ST 157",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970057107",
            "telephone_number": "503-869-4071",
            "fax_number": "503-295-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DRIVE",
            "address_2": "ST 157",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970055607",
            "telephone_number": "503-444-8230",
            "fax_number": "503-295-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "VLIET",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-869-4071",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OR",
            "license": "C2470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.