REBECCA LEIBHAM


Address: 801 Nw Wallula Ave, Gresham, OR 97030-5455
Phone: 5037263800

REBECCA LEIBHAM (NPI# 1407208838) 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) 1407208838
Entity Type Individual
Full Name REBECCA LEIBHAM
Practice Address 801 Nw Wallula Ave
Gresham
OR 97030-5455
Mailing Address 8915 Sw Center St
Tigard
OR 97223-6307
Practice Telephone 5037263800
Practice Fax Number 5037263801
Mailing Telephone 5037263800
Mailing Fax Number 5037263801
Enumeration Date 2016-07-11
Last Update Date 2016-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address 801 NW WALLULA AVE
City GRESHAM
State OR
Zip Code 97030-5455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194018135 Caroline Rose Social Worker 801 Nw Wallula Ave, Gresham, OR 97030-5455 2011-05-24
1225683378 Melissa A Spaete Counselor 801 Nw Wallula Ave, Gresham, OR 97030-5455 2019-08-06
1568910891 Jeanni Lee Crane Counselor 801 Nw Wallula Ave, Gresham, OR 97030-5455 2016-09-15
1518412196 Mia Peeler Counselor 801 Nw Wallula Ave, Gresham, OR 97030-5455 2016-08-24
1952752842 Rebecca Mace Counselor 801 Nw Wallula Ave, Gresham, OR 97030-5455 2016-06-22
1891181301 Sara Garrison Counselor 801 Nw Wallula Ave, Gresham, OR 97030-5455 2015-04-10
1710386552 Colin Mccartney Counselor 801 Nw Wallula Ave, Gresham, OR 97030-5455 2014-08-18
1891137816 Bethy Mae Annsa Counselor 801 Nw Wallula Ave, Gresham, OR 97030-5455 2013-07-18
1053758417 Erin Petty Counselor 801 Nw Wallula Ave, Gresham, OR 97030-5455 2013-05-25
1306180245 Stephanie Jean Weaver Counselor 801 Nw Wallula Ave, Gresham, OR 97030-5455 2012-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
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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
1215403449 Catherine Jones Counseling LLC Counselor 320 N Main Ave Ste 201c, Gresham, OR 97030-7242 2018-10-15
1710423058 Marcella Lee Counselor 1294 Nw Wonderview Dr, Gresham, OR 97030-4995 2017-01-10
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1346610680 Juliet Chandler Counselor 24050 Se Stark St Apt 502, Gresham, OR 97030-3167 2015-09-29
1841540788 Justin Hull Counselor 818 Ne Division St, Gresham, OR 97030-3951 2012-09-19
1962655407 Erik Michael Rasmusson Counselor 912 Ne Kelly Ave, Gresham, OR 97030 2008-10-28
1053939207 Kelsey Nolan Counselor 2222 E Powell Blvd, Gresham, OR 97080-1365 2020-07-13
1235798372 Timothy Hadden Counselor 400 Ne 7th St, Gresham, OR 97030-5604 2019-06-12
1427517234 Bethaney Clark Counselor 123 E Powell Blvd Ste 303, Gresham, OR 97030-7620 2019-03-19
1649737115 Kayla Dawn Smith Counselor 2222 E Powell Blvd, Gresham, OR 97080-1365 2019-02-21
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Competitor

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City GRESHAM
Zip Code 97030

Improve Information

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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.

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