Individual provider Active NPI

Carol Louise Raper, M.A. LMFT

  • Mental Health Counselor
  • Gold Beach, OR
National Provider Identifier
1053615468
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT Issued in CA
Practice address
29821 Colvin St
Gold Beach, OR 97444-0746
Phone
(541) 247-4082
Fax
(541) 247-5058
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT CA Primary

Addresses

Primary practice location

29821 Colvin St
Gold Beach, OR 97444-0746

Mailing address

PO Box 746
Gold Beach, OR 97444-0746
Phone (541) 247-4082

Other names 1

  • Carol L. Cerrudo-Raper Former name

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
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1053615468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974440746",
            "telephone_number": "541-247-4082",
            "fax_number": "541-247-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29821 COLVIN ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974440746",
            "telephone_number": "541-247-4082",
            "fax_number": "541-247-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPER",
        "first_name": "CAROL",
        "middle_name": "LOUISE",
        "credential": "M.A. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "CERRUDO-RAPER",
            "middle_name": "L.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gold Beach, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.