1467225185 NPI number — GRACE ELIZABETH CHENEY MS, QMHP-R, ATR-P

NPI Number: 1467225185
Health Care Provider/Practitioner: GRACE ELIZABETH CHENEY MS, QMHP-R, ATR-P

NPI Number : 1467225185 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467225185",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHENEY",
    "FirstName": "GRACE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, QMHP-R, ATR-P",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 16040",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97292-0040",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-535-1150",
    "MailingAddressFaxNumber": "503-535-1192",
    "FirstLinePracticeLocationAddress": "5291 NE ELAM YOUNG PKWY STE 160",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HILLSBORO",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97124-7560",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-650-6220",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/03/2023",
    "LastUpdateDate": "07/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "221700000X",
          "TaxonomyName": "Art Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}