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Marta Elizabeth Bordeaux

Counselor β€’ Longview, WA

Active NPI 1750534632 Individual Practitioner Female Practitioner
Practice location in NPPES

971 11th Ave
Longview, WA 986322503

Call 3604236140 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

971 11th Ave

Longview, WA 986322503

Telephone 3604236140
Fax 3604231405
Organization at the Same NPPES Address or Phone
Child & Adolescent Clinic, Ps Facility NPI 1144275777

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Longview and Washington

318 active clinicians are listed under Counselor with a practice address in Longview, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0.6% of these 318 clinicians have the CMS telehealth indicator.

0.9% of these 318 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-14
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA 60967434

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.

Adult Companion

NUCC Taxonomy Code: 372600000X

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1932363124

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location October 14, 2022

Registered at 971 11TH AVE, LONGVIEW, WA 986322503 (Tel: 3604236140)

πŸ“
Updated Business Mailing Address October 14, 2022

Registered at 971 11TH AVE, LONGVIEW, WA 986322503 (Tel: 3604236140)

πŸ“
Updated Practice Location August 22, 2019

Registered at 720 14TH AVENUE, LONGVIEW, WA 98632 (Tel: 3404230203)

πŸ“
Updated Business Mailing Address August 22, 2019

Registered at PO BOX 1847, LONGVIEW, WA 98632 (Tel: 3604230203)

πŸ‘€
Provider Name / Credentials Updated August 22, 2019

Recorded as MARTA BORDEAUX

βœ…
NPI Profile Active October 23, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 23, 2008

Registered at 2330 NE SISKIYOU ST, PORTLAND, OR 972122471 (Tel: 5035280757)

πŸ“
Business Mailing Address (Initial Record) October 23, 2008

Registered at PO BOX 8459, PORTLAND, OR 972078459 (Tel: 5032380769)

πŸ‘€
Provider Name / Credentials (Initial Record) October 23, 2008

Recorded as MARTA ROOFF

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2008

Adult Companion

🟒
Initial NPI Registration & Enumeration October 23, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750534632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2008
Last Update: October 14, 2022
Sole Proprietor: Yes

Mailing Address

971 11th Ave

Longview, WA 986322503

Phone: 3604236140

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.