Individual provider Active NPI

Melissa Noonchester

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1962078402
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T-20-467 Issued in OR
Practice address
7916 SE Foster Rd Ste 201
Portland, OR 97206-4289
Phone
(503) 290-8850
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T-20-467 OR Primary

Addresses

Primary practice location

7916 SE Foster Rd Ste 201
Portland, OR 97206-4289

Mailing address

PO Box 16576
Portland, OR 97292-0576

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

State licenses

LicenseStateTypeSpecialty
T-20-467ORMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges to Change Addiction (Substance Use Disorder) CurrentSince Oct 22, 2023 Accepting new patients
Bridges to Change PastSince Jun 6, 2021 Accepting new patients

Locations

7916 SE Foster Rd
Ste 201
Portland, OR 97206
Phone (503) 290-8850

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgestochange/r4/

Organizations & group practices 2

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1962078402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16576",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 SE FOSTER RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064289",
            "telephone_number": "503-290-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONCHESTER",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-20-467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.