Individual provider Active NPI

Unique Layshaun Page, LPC

  • Mental Health Counselor
  • Canby, OR
National Provider Identifier
1104230234
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4395 Issued in OR
Practice address
113 N Elm St
Canby, OR 97013-3519
Phone
(503) 372-5147
Fax
(503) 650-4302
NPI assigned
Jun 17, 2014
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CG60476549 WA
Mental Health Counselor 101YM0800X C4395 OR Primary

Addresses

Primary practice location

113 N Elm St
Canby, OR 97013-3519

Mailing address

113 N Elm St
Canby, OR 97013-3519
Phone (562) 400-8935

Other practice location 1

2274 SW 2nd St Ste D
McMinnville, OR 97128-5597
Phone (503) 273-5147

Other practice location 2

5289 NE Elam Young Pkwy Ste 140
Hillsboro, OR 97124-7551
Phone (503) 372-5147

Other practice location 3

14839 SE 82nd Dr
Clackamas, OR 97015-7624
Phone (503) 372-5147

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
C4395ORMDMental Health Counselor
CG60476549WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Page Counseling Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1104230234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N ELM ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133519",
            "telephone_number": "562-400-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N ELM ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133519",
            "telephone_number": "503-372-5147",
            "fax_number": "503-650-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2274 SW 2nd St Ste D",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971285597",
            "country_code": "US",
            "telephone_number": "503-273-5147",
            "fax_number": "503-650-4302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5289 NE Elam Young Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247551",
            "country_code": "US",
            "telephone_number": "503-372-5147",
            "fax_number": "503-650-4302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14839 SE 82nd Dr",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970157624",
            "country_code": "US",
            "telephone_number": "503-372-5147",
            "fax_number": "503-650-4302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "UNIQUE",
        "middle_name": "LAYSHAUN",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60476549",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.