Carolyn Elizabeth Sturrock

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3024 NE 18TH Ave
Portland, OR 97212-3356

Phone

(503) 313-4616

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

Yes

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1205613361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NE 42ND AVE # 1154",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131399",
            "telephone_number": "503-313-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NE 18TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123356",
            "telephone_number": "503-313-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURROCK",
        "first_name": "CAROLYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian S Sturgill, MPT
• Christopher A Sturm
• Cynthia Ann Sturm, PH.D.
• Katrina Louise Sturm, LMFT
• Michelle Marie Sturm, N.D., LAC.
• Pamela F Sturtevant, MA
• Marisa Lynn Sturza, MD
• Vashti Stutsman, RN
• Kristi Lavonne Stutters, RN
• Kara Lyn Stutz, BS QMHA

• Mental Health Counselor in Portland, OR
• Providers in Portland, 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 Sep 12, 2023; 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.