CHAD LEWIS MENICOSY
NPI 1871126250
Counselor in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since February 13, 2020

13541 SE MARKET ST, PORTLAND, OR 97233(503) 258-9734 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2021, Mar 24, 2021, May 18, 2020 and 1 more (4 updates tracked since 2020).

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About Chad Lewis Menicosy NPPES

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

CHAD LEWIS MENICOSY (NPI 1871126250) is an individual counselor in Portland, Oregon and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1871126250

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameCHAD LEWIS MENICOSY

Location Address13541 SE MARKET STPortland, OR 97233-1752

Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769

Phone(503) 258-9734

Sole ProprietorNo

Enumeration DateFebruary 13, 2020

Last NPPES UpdateApril 6, 20214 updates tracked since enumeration

NPPES CertifiedApril 6, 2021

✔ NPI 1871126250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedAdult CompanionTaxonomy 372600000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

13541 SE MARKET ST, Portland, OR 97233

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