Individual provider Active NPI

Heidi Christensen

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1962831065
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T1185 Issued in OR
Practice address
6420 SW Macadam Ave Ste 390
Portland, OR 97239-3564
Phone
(971) 226-8427
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X
Mental Health Counselor 101YM0800X T1185 OR Primary

Addresses

Primary practice location

6420 SW Macadam Ave Ste 390
Portland, OR 97239-3564

Mailing address

6420 SW Macadam Ave Ste 390
Portland, OR 97239-3564
Phone (971) 226-8427

Other practice location 1

5835 W A St
West Linn, OR 97068-3135
Phone (971) 226-8427

Other identifiers 1

IdentifierTypeStateIssuer
500710597MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heidic@christensencounseling.com

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
I20240916001408 OR Practitioner - Marriage and Family Therapist 5193266328 Practice locations: Lake Oswego, OR

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Centerpointe Dr
Suite 400
Lake Oswego, OR 97035-8661
Phone (971) 226-8427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T1185ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christensen Counseling, LLC CurrentSince Aug 21, 2017 Accepting new patients

Locations

6420 S Macadam Ave
Ste 390
Portland, OR 97239
Phone (503) 449-6707

Organizations & group practices 1

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1962831065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SW MACADAM AVE STE 390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393564",
            "telephone_number": "971-226-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 SW MACADAM AVE STE 390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393564",
            "telephone_number": "971-226-8427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5835 W A St",
            "address_purpose": "LOCATION",
            "city": "West Linn",
            "state": "OR",
            "postal_code": "970683135",
            "country_code": "US",
            "telephone_number": "971-226-8427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T1185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500710597",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heidic@christensencounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "6420 SW MacAdam Ave Ste 390",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972393564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.