Individual provider · Type 1 NPI
Lisa Headings
Mental Health Counselor · Portland, OR
NPI number
1932702701
Active
Practice location
5441 S Macadam Ave # 4135
Portland, OR 97239-6106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R6302 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1932702701
Lisa Headings's National Provider Identifier is 1932702701, issued on Nov 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 4, 2025.