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MIXTLY SIMON-BEARD
NPI 1144815630
Counselor in Portland, OR

Active since March 05, 2021
3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 234-9591 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mixtly Simon-beard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIXTLY SIMON-BEARD (NPI 1144815630) is an individual counselor in Portland, Oregon and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1144815630
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMIXTLY SIMON-BEARD
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591
Phone(503) 234-9591
Sole ProprietorNo
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1144815630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
3415 SE POWELL BLVD, Portland, OR 97202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY HETLAGE MSW
Social Worker
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
CHELSEA YOUNG
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
HALLIE RISWOLD
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (541) 757-1852
MICAELA BUSACK
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
DANIEL TRACHUK
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
MATTHEW PAUL SIMONSON
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
ELSA CHRISTINA SPAULDING
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
PETAL GRIFFITH BS
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 205-4334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mixtly Simon-beard's NPI number?

The NPI number for Mixtly Simon-beard is 1144815630. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Mixtly Simon-beard located?

Mixtly Simon-beard practices at 3415 SE Powell Blvd, Portland, OR 97202. The listed phone number is (503) 234-9591.

What is Mixtly Simon-beard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mixtly Simon-beard was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.