Individual provider Active NPI

Charmagne Westcott, LPC, NCC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1952560716
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3336 Issued in OR
Practice address
6927 NE Oregon St
Portland, OR 97213-5564
Phone
(503) 875-5011
Fax
(503) 296-5739
NPI assigned
Jun 6, 2008
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C3336 OR Primary

Addresses

Primary practice location

6927 NE Oregon St
Portland, OR 97213-5564

Mailing address

6927 NE Oregon St
Portland, OR 97213-5564
Phone (503) 875-5011

Other identifiers 1

IdentifierTypeStateIssuer
500678286MedicaidOR

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
I20250129002072 OR Practitioner - Mental Health Counselor 5991234312 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2304 E Burnside St
Suite 201
Portland, OR 97214-1689
Phone (503) 875-5011

6927 NE Oregon St
Portland, OR 97213-5564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C3336ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1952560716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 NE OREGON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135564",
            "telephone_number": "503-875-5011",
            "fax_number": "503-296-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 NE OREGON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135564",
            "telephone_number": "503-875-5011",
            "fax_number": "503-296-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTCOTT",
        "first_name": "CHARMAGNE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500678286",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.