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MAXWELL DIETMAR BOENISCH
NPI 1326861360
Counselor - Mental Health in Portland, OR

Active since November 07, 2024
4212 SE DIVISION ST, PORTLAND, OR 97206(503) 238-0705(503) 236-7166 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxwell Dietmar Boenisch NPPES

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

MAXWELL DIETMAR BOENISCH (NPI 1326861360) is an individual mental health provider in Portland, Oregon and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1326861360
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMAXWELL DIETMAR BOENISCH
Location Address4212 SE DIVISION STPortland, OR 97206-1680
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 238-0705
Fax(503) 236-7166
Sole ProprietorNo
Enumeration DateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
✔ NPI 1326861360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4212 SE DIVISION ST, Portland, OR 97206
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 16

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

KATHLEEN M O'FARRELL LCSW
Social Worker (Clinical)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0769
MS. SARAH LYNN SATTER MSW, QMHP
Counselor (Mental Health)
4212 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 238-0705
CASCADIA HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
4212 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 253-6754
BROOKE ANDERSON MSW, QMHP
Social Worker (Clinical)
4212 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 238-0705
JENNIFER WILCOX
Counselor (Mental Health)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
MARY LOPEZ M.A.
Counselor (Mental Health)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
RACHEL SLEZAK
Counselor (Mental Health)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
SARAH KIMES
Community Health Worker
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0769

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 Maxwell Boenisch's NPI number?

The NPI number for Maxwell Boenisch is 1326861360. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Maxwell Boenisch located?

Maxwell Boenisch practices at 4212 SE Division St, Portland, OR 97206. The listed phone number is (503) 238-0705.

What is Maxwell Boenisch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Maxwell Boenisch accept?

Health plans from Moda Health Plan, Inc. list Maxwell Boenisch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maxwell Boenisch was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.