Carolyn Waterfall Ms LPC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CAROLYN WATERFALL MS LPC LLC

Practice address

704 Main St Ste 305-8
Oregon City, OR 97045-9704

Phone

(503) 686-3918

Fax

(503) 624-6352

NPI assigned

Dec 20, 2021

Organization subpart

No

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

Authorized official

Name

Carolyn Waterfall, LPCNPI 1184146565

Title

Owner/Counselor

Phone

(503) 686-3918

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Carolyn Waterfall, LPCI

  • Professional Counselor
  • Portland, OR
  • NPI 1184146565
  NPD Authorized official

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1083374805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12332 SW 72ND AVE STE 113",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-686-3918",
            "fax_number": "503-624-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MAIN ST STE 305-8",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970459704",
            "telephone_number": "503-686-3918",
            "fax_number": "503-624-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN WATERFALL MS LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "WATERFALL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "503-686-3918",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Careri, DC
• Caring Companion Caregivers LLC
• Karen S Carlin
• Jennifer Carlson-McCarthy, LCSW, LISW
• Jeffrey Reed Carlson II, DO
• Karen Carpenter, LCSW
• Ashley Carroll
• Kiersten Ann Carroll, AA, BA
• Catherine Ross Caruso, MSW, LCSW, CADC III
• Nybelle Caruso

• Mental Health Counselor in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.