Individual provider Active NPI

Juliana Marler, LPC

  • Counselor
  • Portland, OR
National Provider Identifier
1942813704
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3716 NE MLK Blvd
Portland, OR 97212-1111
Phone
(503) 288-8066
NPI assigned
Aug 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Counselor 101Y00000X Primary

Addresses

Primary practice location

3716 NE MLK Blvd
Portland, OR 97212-1111

Mailing address

5415 SW Westgate Dr Ste 100
Portland, OR 97221-2409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003001750 OR Practitioner - Mental Health Counselor 7810428679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeworks NWGroup PAC ID 1850282575, 15 clinicians

Practice addresses (Care Compare)

14600 NW Cornell Rd
Portland, OR 97229-5442

5415 SW Westgate Dr
Portland, OR 97221-2409

971 SW Walnut St
Hillsboro, OR 97123-5651
Phone (503) 640-5297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks NW CurrentSince Jul 11, 2024 Accepting new patients
Center for Family Development, Inc. PastSince Sep 1, 2021 Accepting new patients
Center for Family Development, Inc. PastSince Sep 1, 2021 Accepting new patients

Locations

971 SW Walnut St
Hillsboro, OR 97123
Phone (503) 640-5297

14600 NW Cornell Rd
Portland, OR 97229

3716 NE Mlk Jr Blvd
Portland, OR 97212
Phone (503) 228-8066

5415 SW Westgate Dr
Portland, OR 97221
Phone (503) 645-9010

5415 SW Westgate Dr
Ste 100
Portland, OR 97221

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1942813704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 SW WESTGATE DR STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 NE MLK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121111",
            "telephone_number": "503-288-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "JULIANA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-30",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.