Active NPI
Melissa Alexandra Lewis
- Addiction (Substance Use Disorder) Counselor
- Wilsonville, OR
National Provider Identifier
1932630225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 24499 SW Grahams Ferry Rd
Wilsonville, OR 97070-7523 - Phone
- (503) 238-0769
- NPI assigned
- Mar 27, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Technician | 106S00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
24499 SW Grahams Ferry Rd
Wilsonville, OR 97070-7523
Mailing address
8915 SW Center St
Tigard, OR 97223-6307
Phone (503) 726-3690
Other practice location 1
2020 SE Powell Blvd
Portland, OR 97202-2345
Phone (503) 233-6121
Other practice location 2
8915 SW Center St
Tigard, OR 97223-6307
Phone (503) 726-3690
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1932630225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8915 SW CENTER ST",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236307",
"telephone_number": "503-726-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24499 SW GRAHAMS FERRY RD",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970707523",
"telephone_number": "503-238-0769"
}
],
"practiceLocations": [
{
"address_1": "2020 SE Powell Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972022345",
"country_code": "US",
"telephone_number": "503-233-6121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8915 SW Center St",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972236307",
"country_code": "US",
"telephone_number": "503-726-3690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "MELISSA",
"middle_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.