Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558963868 Individual Practitioner Female Practitioner

Breanda J. Conley , MA, LPC

Counselor - Professional • Tualatin, OR

Professional Overview & Biography Verified Profile Summary

Breanda Conley, MA, LPC is a registered healthcare professional specializing in Counselor - Professional in Tualatin, OR. Practice services are available at 18765 SW BOONES FERRY RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18765 Sw Boones Ferry Rd Ste 100

Tualatin, OR 970628607

Telephone 5036121000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Tualatin, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Tualatin, OR (2601 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C7854

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alexander Criscuolo

Behavior Technician

NPI 1003515636
Matthew Kamery

Behavior Analyst

NPI 1013413897
Sophie Stone

Behavior Technician

NPI 1053045864
Kyung Lee , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053072355

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Mirna Torres Cisneros, Bai

Behavior Technician

NPI 1063007938
Melissa Miracle , LPC

Counselor - Professional

NPI 1073219077

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 21, 2023

Registered at 18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 970628607 (Tel: 5036121000)

📍
Updated Business Mailing Address December 21, 2023

Registered at 18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 970628607 (Tel: 5036121000)

👤
Provider Name / Credentials Updated December 21, 2023

Recorded as BREANDA CONLEY, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2023

Counselor (License #C7854 in OR)

NPI Profile Active November 11, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2020

Registered at 7700 GLEASON DR APT 34P, KNOXVILLE, TN 379196838 (Tel: 4232028660)

📍
Updated Business Mailing Address November 11, 2020

Registered at 7700 GLEASON DR APT 34P, KNOXVILLE, TN 379196838 (Tel: 4232028660)

👤
Provider Name / Credentials Updated November 11, 2020

Recorded as BREANDA CONLEY, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2020

Counselor

🟢
Initial NPI Registration & Enumeration November 11, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558963868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2020
Last Update: December 21, 2023
Sole Proprietor: No

Mailing Address

18765 Sw Boones Ferry Rd Ste 100

Tualatin, OR 970628607

Phone: 5036121000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.