| Benjamin James Heifetz, | |
|
1500 Ne Irving St Ste 440, Portland, OR 97232-4208 | |
| (541) 517-9733 | |
| Not Available |
| Full Name | Benjamin James Heifetz |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1500 Ne Irving St Ste 440, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740696525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 106H00000X | Marriage & Family Therapist | (NU) | Primary |
| Entity Name | Vista Counseling & Consultation Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275864985 PECOS PAC ID: 1153748363 Enrollment ID: O20200902002946 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin James Heifetz, 1551 Pearl St, Eugene, OR 97401-4010 Ph: (541) 517-9733 | Benjamin James Heifetz, 1500 Ne Irving St Ste 440, Portland, OR 97232-4208 Ph: (541) 517-9733 |
Therese Long, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4300 Ne Fremont St Ste 260, Portland, OR 97213 Phone: 503-544-9996 |
Kathia Rabelo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 Nw 21st Ave Ste B, Portland, OR 97209 Phone: 626-318-9783 |
Joshua Solomon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6011 Ne Oregon St, Portland, OR 97213 Phone: 503-385-6470 |
Jedidiah Smith, Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 7393 Se 118th Dr, Portland, OR 97266 Phone: 971-381-2769 |
Polly Elizabeth Harrison, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13601 Se Lincoln Ct, Portland, OR 97233 Phone: 503-558-5339 |
Ashley Yukich, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5441 S Macadam Ave, Ste R, Portland, OR 97239 Phone: 503-395-4287 |
Tracie Jane Burich, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4946 Sw Barbur Blvd Apt 1, Portland, OR 97239 Phone: 503-333-3919 |