Individual provider Active NPI

Madeline Marie Creagan

  • Mental Health Counselor
  • Lake Oswego, OR
National Provider Identifier
1235749730
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5200 Meadows Rd Ste 2000
Lake Oswego, OR 97035-3202
Phone
(541) 975-3868
NPI assigned
Aug 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5200 Meadows Rd Ste 2000
Lake Oswego, OR 97035-3202

Mailing address

5200 Meadows Rd Ste 2000
Lake Oswego, OR 97035-3202
Phone (541) 975-3868

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

NPI Registry JSON

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1235749730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 MEADOWS RD STE 2000",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353202",
            "telephone_number": "541-975-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 MEADOWS RD STE 2000",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353202",
            "telephone_number": "541-975-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAGAN",
        "first_name": "MADELINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2024-05-29",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.