Nicole Byers, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4203 Issued in OR

Practice address

1907 SE Spokane St
Portland, OR 97202-6743

Phone

(503) 880-2676

NPI assigned

Jul 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wild Oak Therapeutic Farm, LLC

  • Mental Health Counselor
  • West Linn, OR
  • NPI 1750190781
  NPD Authorized official

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1982057725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29697 SW RIVERWOOD DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970689440",
            "telephone_number": "503-880-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 SE SPOKANE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026743",
            "telephone_number": "503-880-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Ann Byerley
• David Allan Byerly, MOT, OTR/L
• Laura K Byerly, MD
• Erika Luxhoj Byers, R.N., F.N.P.
• Jordan Byers
• Sean M Byers, MD
• Spencer William Byl
• Laura Fern Byler, LISW
• Matthew Charles Byloos
• Jennifer Bynum

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.