Active NPI
Carolyn Anne Schroeder, LMFT, CFLE
- Marriage & Family Therapist
- Clackamas, OR
National Provider Identifier
1033479357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0639/ACTIVE
- Practice address
- 13231 SE Sunnyside Road
Carolyn Schroeder LMFT, Cfle
Clackamas, OR 97015 - Phone
- (503) 780-9679
- Fax
- (503) 698-4490
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0639/ACTIVE | OR | Primary |
Addresses
Primary practice location
13231 SE Sunnyside Road
Carolyn Schroeder LMFT, Cfle
Clackamas, OR 97015
Mailing address
13231 SE Sunnyside Road
Clackamas, OR 97015
Phone (503) 780-9679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0639/ACTIVE | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1033479357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13231 SE SUNNYSIDE ROAD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "97015",
"telephone_number": "503-780-9679",
"fax_number": "503-698-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13231 SE SUNNYSIDE ROAD",
"address_2": "CAROLYN SCHROEDER LMFT, CFLE",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "97015",
"telephone_number": "503-780-9679",
"fax_number": "503-698-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "CAROLYN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LMFT, CFLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0639/ACTIVE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.