Individual provider Active NPI

Smadar Megnazi, LPC

  • Professional Counselor
  • Beaverton, OR
National Provider Identifier
1982204269
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5655 Issued in OR
Practice address
10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791
Phone
(971) 287-5397
Fax
(724) 769-4313
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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 C5655 OR Primary

Addresses

Primary practice location

10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791

Mailing address

10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791
Phone (971) 287-5397

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
C5655ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kartini Clinic PC CurrentSince Jul 24, 2022 Accepting new patients

Locations

3530 N Vancouver Ave
Ste 400
Portland, OR 97227
Phone (503) 249-8851

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1982204269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 560",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054791",
            "telephone_number": "971-287-5397",
            "fax_number": "724-769-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 560",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054791",
            "telephone_number": "971-287-5397",
            "fax_number": "724-769-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGNAZI",
        "first_name": "SMADAR",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.