FIDELIS T EMMANUEL
NPI 1720561970
Counselor - Mental Health in Portland, OR

Active since September 13, 2018
847 NE 19TH AVE STE 100, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 24, 2020, Sep 13, 2018 (2 updates tracked since 2018).

  • Individual
  • Male
  • Counselor
  • Mental Health

About FIDELIS EMMANUEL

This page provides the complete NPI Profile along with additional information for Fidelis Emmanuel, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1720561970 assigned on September 2018. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1720561970 Verify this NPI
Provider Name
FIDELIS T EMMANUEL
Gender
Male
Entity Type
Individual
Location Address
847 NE 19TH AVE STE 100 PORTLAND, OR 97232
Location Phone
(503) 238-0769
Mailing Address
PO BOX 8459 PORTLAND, OR 97207
Is Sole Proprietor?
No
Enumeration Date
09-13-2018
Last Update Date
01-24-2020
Code Navigator

A mental health counselor like Fidelis Emmanuel provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 8915 SW Center St
    Tigard, OR 97223
    (503) 726-3690

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1372600000XNursing Service Related Providers

Adult Companion

 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Community Health Worker
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Community Health Worker
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Case Manager/Care Coordinator
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Counselor (Mental Health)
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Case Manager/Care Coordinator
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Counselor (Professional)
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
847 NE 19TH AVE STE 100
PORTLAND, OR 97232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720561970, enumerated as an "individual" on September 13, 2018.

The provider is located at 847 NE 19TH AVE STE 100 PORTLAND, OR 97232 and the phone number is (503) 238-0769.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.