West End Counseling Associates, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WEST END COUNSELING ASSOCIATES, LLC

Practice address

2031 Hawthorne St Ste C
Forest Grove, OR 97116-1700

Phone

(971) 719-5703

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Chasity Maryland, LCSW

Title

Admin

Phone

(337) 565-0599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Debbie Bishop, LCSW

  • Clinical Social Worker
  • Forest Grove, OR
  • NPI 1568768364
  Medicare reassignment NPD
• Samuel William Gioia, LCSW

  • Clinical Social Worker
  • Forest Grove, OR
  • NPI 1851677041
  NPD (past)
• Tracy Waters, MSW, LCSW

  • Clinical Social Worker
  • Forest Grove, OR
  • NPI 1487723607
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1942917034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971160428",
            "telephone_number": "971-719-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 HAWTHORNE ST STE C",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161700",
            "telephone_number": "971-719-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "MARYLAND",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "337-565-0599",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Yang Wang
• Tracy Waters, MSW, LCSW
• Sara Wegner
• Emry Dean Wells
• Colleen Stacy Wesel, P.T.
• Michaela Roxana Westover, FNP-BC
• Bonnie Lyn Whistler, LMT
• Katie Maelouise White, LMT
• Tonnie Irene White, LMT
• Marisa Jane Wickerath, MD

• Clinical Social Worker in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.