Cascade Clinic

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

CASCADE CLINIC

Practice address

1220 Main St Ste 400
Vancouver, WA 98660-2963

Phone

(360) 230-8557

Fax

(888) 915-0898

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Karrie J Petersen, CCC SLPNPI 1346591153

Title

Owner/Provider

Phone

(360) 230-8557

Specialties & licenses 3

Addresses

Other identifiers 14

Electronic endpoints 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karrie Janae Petersen, MS, CCC- SLP

  • Speech-Language Pathologist
  • Vancouver, WA
  • NPI 1346591153
  NPD Authorized official

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1063175644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MAIN ST STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602963",
            "telephone_number": "360-230-8557",
            "fax_number": "888-915-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MAIN ST STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602963",
            "telephone_number": "360-230-8557",
            "fax_number": "888-915-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 8th St Unit 327",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603439",
            "country_code": "US",
            "telephone_number": "503-369-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASCADE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "360-230-8557",
        "authorized_official_credential": "CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Augmentative Communication",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "1063175644",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346591153",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MODA",
            "identifier": "1063175644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1063175644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "1063175644",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1063175644",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "1063175644",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1063175644",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1063175644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "1063175644",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063175644",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "1063175644",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "1346591153",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "1346591153",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "karrie@cascadetherapyclinic.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "300 W 8th St Unit 327",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986603439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karrie@cascadetherapyclinic.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 W 8th St Unit 327",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986603439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "karrie@cascadetherapyclinic.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA Compliant direct email",
            "address_1": "1220 Main St Ste 400",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986602963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leydamara Carvajal, MD
• Holly Carver
• Brandon Casbeer, LMT
• Cascade AIDS Project (SW Washington Services)
• Cascade Anesthesia & Pain
• Cascade Functional Medicine PS
• Cascade Heart PS
• Cascade Highlands Afh LLC
• Cascade Holistic Health Care PLLC
• Cascade Inn Limited Partnership

• Hearing and Speech Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Hearing and Speech Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.