Individual provider Active NPI

Lauren Theresa Pillster, M.A., LPC

  • Counselor
  • Happy Valley, OR
National Provider Identifier
1265708135
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C3875 Issued in OR
Practice address
10151 SE Sunnyside Rd Ste 480
Happy Valley, OR 97015-5705
Phone
(503) 739-8321
NPI assigned
Mar 26, 2012
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C3875 OR Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

10151 SE Sunnyside Rd Ste 480
Happy Valley, OR 97015-5705

Mailing address

10151 SE Sunnyside Rd Ste 480
Clackamas, OR 97015-5705
Phone (503) 739-8321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505001444 OR Practitioner - Mental Health Counselor 6608344056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1130 SW Morrison St
Suite 430
Portland, OR 97205-2215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C3875ORMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Counselor PastSince Jun 30, 2024 Accepting new patients

Organizations & group practices 2

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1265708135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 SE SUNNYSIDE RD STE 480",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155705",
            "telephone_number": "503-739-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 SE SUNNYSIDE RD STE 480",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970155705",
            "telephone_number": "503-739-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLSTER",
        "first_name": "LAUREN",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C3875",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

Verify at the official NPI Registry.