| Tina G Lips, LPC | |
|
700 Ne Multnomah St, Suite 275, Portland, OR 97232-2131 | |
| (503) 729-1380 | |
| (503) 841-6343 |
| Full Name | Tina G Lips |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 700 Ne Multnomah St, Portland, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336474121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60329329 (Washington) | Secondary |
| 101YP2500X | Counselor - Professional | C2484 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Willamette Health And Wellness Llc | 6204275100 | 8 |
| Entity Name | Willamette Health & Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093140188 PECOS PAC ID: 6204275100 Enrollment ID: O20240411001903 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina G Lips, LPC 700 Ne Multnomah St, Suite 275, Portland, OR 97232-2131 Ph: (503) 729-1380 | Tina G Lips, LPC 700 Ne Multnomah St, Suite 275, Portland, OR 97232-2131 Ph: (503) 729-1380 |
Deanna Gold, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-891-9937 | |
Loren Dale Horton, B.A, M.DIV. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Sw Washington St, Portland, OR 97205 Phone: 503-535-1150 | |
Michael Peter Kender, MA, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 9111 Ne Sunderland Ave, Portland, OR 97211 Phone: 503-280-6646 Fax: 503-280-6051 | |
Laura Ann Allen, MS, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Nw Davis St, Portland, OR 97209 Phone: 503-226-2203 Fax: 503-223-4231 | |
James Paul Bryant, LCSW, CADC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-964-0000 | |
Michael Ann Benchoff, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204 Phone: 503-988-4949 | |
Lynn A Fontana, L.M.F.T, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 Ne Prescott St, Portland, OR 97218 Phone: 503-223-7719 Fax: 503-255-4714 |