- Practice location
- 610 SW Alder St Ste 915, Portland, OR 97205
- Phone
- 971-226-1501
- Fax
- 503-335-8125
- Last updated
- February 26, 2021
Joan Kendall Ayala is a Counselor, Mental Health based in Portland, OR. Joan Kendall Ayala practices in Portland, OR and has the professional credentials of LCSW CADC III CRM. The NPI Number for Joan Kendall Ayala is 1376952796 and holds a License No. 17-01-28 (OR). The current practice location address for Joan Kendall Ayala is 610 SW Alder St Ste 915, Portland, OR 97205 and can be reached out via phone at 971-226-1501 and via fax at 503-335-8125.
Provider Profile Details
- NPI Number
- 1376952796
- Provider Name
- Joan Kendall Ayala
- Credential
- LCSW CADC III CRM
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 610 SW Alder St Ste 915, Portland, OR 97205
- Phone Number
- 971-226-1501
- Fax Number
- 503-335-8125
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 11, 2014
- Last Update Date
- February 26, 2021
- Certification Date
- February 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 610 SW Alder St Ste 915
Portland, OR 97205 - City
- Portland
- State
- Oregon
- Zip
- 97205
- Phone Number
- 971-226-1501
- Fax Number
- 503-335-8125
Provider Business Mailing Address Details
- Address
- 12265 SW Denfield St
Beaverton, OR 97005-1704 - City
- Beaverton
- State
- OR
- Zip
- 97005-1704
- Phone Number
- 971-226-1501
- Fax Number
- 971-339-0401
License Information
- License Number (1)
- 17-01-28
- License State (1)
- OR
- Taxonomy (1)
- Counselor · 101Y00000X
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (4)
- Social Worker · 104100000X
- License Number (5)
- L7815
- License State (5)
- OR
- Taxonomy (5)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Joan K Ayala, LCSW CADC III CRM?
The NPI number of Ms. Joan K Ayala, LCSW CADC III CRM is 1376952796. It was assigned on August 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Ms. Joan K Ayala, LCSW CADC III CRM?
Ms. Joan K Ayala, LCSW CADC III CRM is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number 17-01-28.
Where does Ms. Joan K Ayala, LCSW CADC III CRM practice?
The practice location is 610 SW Alder St Ste 915, Portland, OR 97205. The office can be reached at 971-226-1501 (phone) or 503-335-8125 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376952796 directly on the NPPES registry website.