Active NPI
Lisa Sloan Strom, LPC, LLC
- Counselor
- Portland, OR
National Provider Identifier
1932509239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C4736
- Practice address
- 5319 SW Westgate Dr
Portland, OR 97221-2411 - Phone
- (503) 974-1551
- NPI assigned
- Aug 25, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Counselor | 101Y00000X | C4736 | OR | Primary |
Addresses
Primary practice location
5319 SW Westgate Dr
Portland, OR 97221-2411
Mailing address
6312 SW Capitol Hwy # 135
Portland, OR 97239-1938
Phone (503) 974-1551
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4736 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1932509239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6312 SW CAPITOL HWY # 135",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391938",
"telephone_number": "503-974-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 SW WESTGATE DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212411",
"telephone_number": "503-974-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN STROM",
"first_name": "LISA",
"credential": "LPC, LLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "C4736",
"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 Mar 2, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.