MIXTLY SIMON-BEARD
Counselor

Address: 3415 Se Powell Blvd, Portland, OR 97202-3371

MIXTLY SIMON-BEARD (NPI# 1144815630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144815630
Entity Type Individual
Full Name MIXTLY SIMON-BEARD
Gender Female
Practice Address 3415 Se Powell Blvd
Portland
OR 97202-3371
Practice Telephone 5032349591
Mailing Address 3415 Se Powell Blvd
Portland
OR 97202-3371
Mailing Telephone 5032349591
Certification Date 2021-03-05
Enumeration Date 2021-03-05
Last Update Date 2021-03-05
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 3415 SE POWELL BLVD
City PORTLAND
State OR
Zip Code 97202-3371

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346833027 Casey Morgan Lowrey Behavior Technician 3415 Se Powell Blvd, Portland, OR 97202-3371 2021-02-14
1013509009 Karina Maria Pacheco Case Manager/Care Coordinator 3415 Se Powell Blvd, Portland, OR 97202-3371 2021-02-10
1659963643 Merel Burleigh Jacobs Counselor 3415 Se Powell Blvd, Portland, OR 97202-3371 2021-02-10
1518556653 Kiersten Gilbert Counselor 3415 Se Powell Blvd, Portland, OR 97202-3371 2021-01-13
1891383337 Quin Wogmon Counselor 3415 Se Powell Blvd, Portland, OR 97202-3371 2021-01-08
1962099549 Lyn King Counselor · Professional 3415 Se Powell Blvd, Portland, OR 97202-3371 2020-12-29
1154918050 Rylie Szolomayer Counselor 3415 Se Powell Blvd, Portland, OR 97202-3371 2020-12-26
1760079750 Sebastian Perez Counselor 3415 Se Powell Blvd, Portland, OR 97202-3371 2020-12-24
1215523774 Phillip Kent Social Worker · School 3415 Se Powell Blvd, Portland, OR 97202-3371 2020-12-17
1346836996 Deserina Martinez Counselor 3415 Se Powell Blvd, Portland, OR 97202-3371 2020-12-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659769594 Elan Eichler Social Worker 3415 Se Powell, Portland, OR 97202-3371 2014-12-30

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor · Mental Health Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1629627997 Ben Carlstrom Speech-Language Pathologist 3320 Se Holgate Blvd, Portland, OR 97202 2019-09-09
1588226765 Melissa Lynn Hartley Counselor · Mental Health 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1154988871 Hannah Mary Vestal Counselor · Mental Health 1818 Se Division St, Portland, OR 97202 2019-05-29
1255998167 Jeniffer White Behavior Technician 205 Se Spokane St Ste 329, Portland, OR 97202 2019-05-26
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1437634151 Danielle Briana-Hansen Nix · Daniella Briana Hansen Massage Therapist 1222 Se Division St, Portland, OR 97202 2018-09-27
1922591387 Rene J Rice Social Worker · Clinical 1438 Se Division St, Portland, OR 97202 2018-06-11
1538662168 Abigail Annie Buckles · Abigail Annie Druffel Student in an Organized Health Care Education/Training Program 2740 Se Powell Blvd, Portland, OR 97202 2018-03-09
Find all providers in zip 97202

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538754056 Emil Tristan Marz 2445 Se Hawthorne Blvd, Portland, OR 97214-3924 2021-03-05
1609461763 Serena M Fonte 1904 Se Division St, Portland, OR 97202-1146 2021-03-01
1922691443 Heather Richards 125 Presumpscot St Unit 9, Portland, ME 04103-5299 2021-02-16
1013509041 Patrick Tyler Bluett 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 2021-02-10
1659963643 Merel Burleigh Jacobs 3415 Se Powell Blvd, Portland, OR 97202-3371 2021-02-10
1295326262 David Burnell 3650 Ne Mallory Ave Apt 101, Portland, OR 97212-3088 2021-02-01
1720678576 Alexa Durkin-Tang 14600 Nw Cornell Rd, Portland, OR 97229-5442 2021-01-25
1790375947 Alison Lentz 1507 Ne 122nd Ave, Portland, OR 97230-1911 2021-01-21
1518556653 Kiersten Gilbert 3415 Se Powell Blvd, Portland, OR 97202-3371 2021-01-13
1891383337 Quin Wogmon 3415 Se Powell Blvd, Portland, OR 97202-3371 2021-01-08
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.