| The Northwest Catholic Counseling Center | |
|
8383 Ne Sandy Blvd Suite 205 Portland OR 97220-4948 | |
| (503) 253-0964 | |
| (503) 253-7659 |
| Full Name | The Northwest Catholic Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 8383 Ne Sandy Blvd, Portland, Oregon |
| Authorized Official Name and Position | Erin Peters (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5032530964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Northwest Catholic Counseling Center 8383 Ne Sandy Blvd Ste 205 Portland OR 97220-4967 Ph: (503) 253-0964 | The Northwest Catholic Counseling Center 8383 Ne Sandy Blvd Suite 205 Portland OR 97220-4948 Ph: (503) 253-0964 |
| NPI Number | 1619091279 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Medicare PECOS PAC ID | 0840289013 |
|---|---|
| Medicare Enrollment ID | O20040511001663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619091279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Sideroff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346655917 PECOS PAC ID: 8426586702 Enrollment ID: I20250130004056 |
| Provider Name | Lu Lu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861016586 PECOS PAC ID: 1153851944 Enrollment ID: I20250210000245 |
| Provider Name | Thomas Garnett Grubb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003826496 PECOS PAC ID: 5890033211 Enrollment ID: I20250212003393 |
| Provider Name | Lacie Baumer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558094656 PECOS PAC ID: 6507396082 Enrollment ID: I20250213000928 |
| Provider Name | Marchelle Jaylee Carl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659006906 PECOS PAC ID: 2961922356 Enrollment ID: I20250228002288 |
| Provider Name | Jessica A Larson-wu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508109653 PECOS PAC ID: 7315468667 Enrollment ID: I20250304000899 |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2950 Se Stark St Ste 130, Portland, OR 97214 Phone: 971-270-0167 |