Lorrie E Mosbergen, CADC I, CRM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17-08-06 Issued in OR

Practice address

16420 SE Division St
Portland, OR 97236-1987

Phone

(503) 762-3130

Fax

(503) 762-3199

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1144851445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAITLAND CENTER PKWY STE 250",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514174",
            "telephone_number": "407-351-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16420 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361987",
            "telephone_number": "503-762-3130",
            "fax_number": "503-762-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBERGEN",
        "first_name": "LORRIE",
        "middle_name": "E",
        "credential": "CADC I, CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "17-08-06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Morton, LMT
• Jon Mark Morton, MD
• Megan Morton, AGNP
• Mosaic Counseling Associates
• Mosaic Mental Health & Consulting, LLC
• Lauren Mosbrucker
• Chris Mosby
• Debra Y Moseley, PMHNP
• Megan Marie Moseley, PT, LMT
• Renee Cecilia Moseley, LCSW

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.