<unavail> in Portland, OR - Medicare Marriage & Family Therapist

is a medicare enrolled mental health clinic (Marriage & Family Therapist) in Portland, Oregon. The current practice location for is 80 Se Madison St Ste 240, Portland, Oregon. For appointments, you can reach them via phone at (503) 922-3360. The mailing address for is 20333 State Highway 249 Ste 200, Houston, Texas and phone number is (503) 922-3360.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417420001. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 922-3360.

Contact Information


	80 Se Madison St Ste 240 Portland OR 97214-4527
	(503) 922-3360
	(971) 352-4229

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Marriage & Family Therapist
Location	80 Se Madison St Ste 240, Portland, Oregon
Authorized Official Name and Position	Nahomie Guillaume (PRESIDENT)
Authorized Official Contact	5039223360
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
20333 State Highway 249 Ste 200 Houston TX 77070-2613 Ph: (503) 922-3360	80 Se Madison St Ste 240 Portland OR 97214-4527 Ph: (503) 922-3360

NPI Details:

NPI Number	1417420001
Provider Enumeration Date	01/07/2019
Last Update Date	12/30/2024
Certification Date	12/30/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7416495429
Medicare Enrollment ID	O20240821000981

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417420001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Nahomie Moise Guillaume
Provider Type	Practitioner - Marriage And Family Therapist
Provider Identifiers	NPI Number: 1609085661 PECOS PAC ID: 1951849967 Enrollment ID: I20240821001105

Reviews and Comments

Marriage & Family Therapist in Portland, OR

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- Medicare Mental Health Clinic in Portland, OR