Individual provider Active NPI

Catherine Lydia Bauman-Virnig, M.S.

  • Counselor
  • Clackamas, OR
National Provider Identifier
1205192226
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
12901 SE 97TH Ave
Suite 105
Clackamas, OR 97015-7901
Phone
(503) 655-8045
Fax
(503) 655-6806
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

12901 SE 97TH Ave
Suite 105
Clackamas, OR 97015-7901

Mailing address

12901 SE 97TH Ave
Suite 105
Clackamas, OR 97015-7901
Phone (503) 655-8045

Other names 1

  • Mary Catherine Bauman Former name

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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
Options Counseling Services of Oregon 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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1205192226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE",
            "address_2": "SUITE 105",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157901",
            "telephone_number": "503-655-8045",
            "fax_number": "503-655-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE",
            "address_2": "SUITE 105",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157901",
            "telephone_number": "503-655-8045",
            "fax_number": "503-655-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN-VIRNIG",
        "first_name": "CATHERINE",
        "middle_name": "LYDIA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BAUMAN",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 31, 2016; 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.