Active NPI
Talia Shide
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1932519477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1246
- Practice address
- 15280 NW Central Dr Ste 218
Portland, OR 97229-7809 - Phone
- (971) 442-5192
- NPI assigned
- May 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | T1246 | OR | Primary |
Addresses
Primary practice location
15280 NW Central Dr Ste 218
Portland, OR 97229-7809
Mailing address
15280 NW Central Dr Ste 218
Portland, OR 97229-7809
Phone (971) 442-5192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1246 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Home Society of Washington | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Akin
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1063566867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751155200000",
"number": "1932519477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15280 NW CENTRAL DR STE 218",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972297809",
"telephone_number": "971-442-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15280 NW CENTRAL DR STE 218",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972297809",
"telephone_number": "971-442-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIDE",
"first_name": "TALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2025-06-29",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1246",
"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 Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.