Active NPI
Todd Wesley Brehm, MSW, LSSW
- Counselor
- Portland, OR
National Provider Identifier
1982148904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3415 SE Powell Blvd
Portland, OR 97202-3371 - Phone
- (503) 234-9591
- NPI assigned
- Dec 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3415 SE Powell Blvd
Portland, OR 97202-3371
Mailing address
3415 SE Powell Blvd
Portland, OR 97202-3371
Phone (503) 234-9591
Other practice location 1
7440 SW Hunziker Rd.
Suite F
Tigard, OR 97223
Phone (503) 596-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Center for Children and Families, LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Tigard, OR
- NPI 1619219524
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1982148904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023371",
"telephone_number": "503-234-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023371",
"telephone_number": "503-234-9591"
}
],
"practiceLocations": [
{
"address_1": "7440 SW Hunziker Rd.",
"address_2": "Suite F",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "97223",
"country_code": "US",
"telephone_number": "503-596-2222",
"fax_number": "503-200-1340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREHM",
"first_name": "TODD",
"middle_name": "WESLEY",
"credential": "MSW, LSSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-09",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.