Organization Active NPI

Tkphillips Counseling, LLC

  • Mental Health Counselor
  • Tigard, OR
National Provider Identifier
1932667458
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TKPHILLIPS COUNSELING, LLC
Practice address
6950 SW Hampton St Ste 221
Tigard, OR 97223-8331
Phone
(503) 912-7400
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Mr. Timothy Clark Phillips, LPCNPI 1811359664
Title
Counselor/Owner
Phone
(971) 727-5374

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6950 SW Hampton St Ste 221
Tigard, OR 97223-8331

Mailing address

15514 SW Peace Ave
Tigard, OR 97224-2279
Phone (971) 727-5374

National Provider Directory

National Provider Directory

Locations

6950 SW Hampton St
Ste 221
Tigard, OR 97223
Phone (503) 912-7400

11825 SW Greenburg Rd
Ste 208
Tigard, OR 97223
Phone (503) 608-0801

Practitioners & affiliated clinicians

Practitioners 2

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": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1932667458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15514 SW PEACE AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972242279",
            "telephone_number": "971-727-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST STE 221",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238331",
            "telephone_number": "503-912-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKPHILLIPS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "971-727-5374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.