DIRKSE COUNSELING AND CONSULTING INC. NPI 1366909061

NPI Information

NPI: 1366909061
Provider Name: DIRKSE COUNSELING AND CONSULTING, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
9725 SW BEAVERTON HILLSDALE HWY STE 230
BEAVERTON, OR
ZIP 97005
Phone: (503) 430-5762
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DIRKSE COUNSELING AND CONSULTING, INC. is an adult mental health clinic center in Beaverton, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DIRKSE COUNSELING AND CONSULTING, INC. NPI is 1366909061. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9725 SW BEAVERTON HILLSDALE HWY STE 230
BEAVERTON, OR
ZIP 97005-755
Phone: (503) 430-5762
Fax: (503) 672-7668

The provider's authorized official is Andrew Lundgren .
The authorized official title is Clinical Supervisor and has the following contact phone number (503) 430-5762.

The enumeration date for this NPI number is 2/28/2019 and was last updated on 4/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YP2500X	Counselor	Professional	No
3	106H00000X	Marriage & Family Therapist		No
4	261QM0850X	Clinic/Center	Adult Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500769429	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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