Active NPI
Noah Carolan, M.ED
- Marriage & Family Therapist
- Beaverton, OR
National Provider Identifier
1104064690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1500 NW Bethany Blvd Suite 320
Beaverton, OR 97006 - Phone
- (541) 968-6624
- NPI assigned
- Jan 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1500 NW Bethany Blvd Suite 320
Beaverton, OR 97006
Mailing address
2007 SE Salmon St Apt a
Portland, OR 97214-3887
Phone (541) 968-6624
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 Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1104064690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 SE SALMON ST APT A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143887",
"telephone_number": "541-968-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NW BETHANY BLVD SUITE 320",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97006",
"telephone_number": "541-968-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROLAN",
"first_name": "NOAH",
"name_prefix": "Mr.",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-22",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.