Individual provider Active NPI

Laura Katherine Oswald, LPC

  • Professional Counselor
  • Clackamas, OR
National Provider Identifier
1083034904
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6530 Issued in OR
Practice address
12901 SE 97TH Ave
Clackamas, OR 97015-7901
Phone
(503) 545-7970
Fax
(503) 655-6806
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C6530 OR Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

12901 SE 97TH Ave
Clackamas, OR 97015-7901

Mailing address

3500 Chad Dr Ste 350
Eugene, OR 97408-7602
Phone (541) 687-6983

Other practice location 1

715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone (541) 956-4943

Other practice location 2

711 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone (541) 479-5901

Other practice location 3

707 NE Couch St
Portland, OR 97232-2922
Phone (503) 542-4603

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.options.org

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

LicenseStateTypeSpecialty
C6530ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kairos Past Accepting new patients
Janus Youth Programs, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1083034904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CHAD DR STE 350",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087602",
            "telephone_number": "541-687-6983",
            "fax_number": "541-684-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157901",
            "telephone_number": "503-545-7970",
            "fax_number": "503-655-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275500",
            "country_code": "US",
            "telephone_number": "541-956-4943",
            "fax_number": "503-233-6093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275500",
            "country_code": "US",
            "telephone_number": "541-479-5901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 NE Couch St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322922",
            "country_code": "US",
            "telephone_number": "503-542-4603",
            "fax_number": "503-233-6093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "LAURA",
        "middle_name": "KATHERINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6530",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.options.org",
            "affiliation": "N",
            "address_1": "3500 Chad Dr Ste 350",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974087602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 18, 2022; 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.