Individual provider Active NPI

Caroline Falcone

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1285038760
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L10557 Issued in OR
Practice address
5404 N Montana Ave
Portland, OR 97217-4557
Phone
(503) 232-0969
NPI assigned
Oct 13, 2014
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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 L10557 OR Primary

Addresses

Primary practice location

5404 N Montana Ave
Portland, OR 97217-4557

Mailing address

4518 NE Irving St
Portland, OR 97213-2343
Phone (503) 880-6429

Other practice location 1

421 SW Oak St Ste 520
Portland, OR 97204-1810
Phone (503) 988-5464

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

State licenses

LicenseStateTypeSpecialty
L10557ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1285038760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 NE IRVING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132343",
            "telephone_number": "503-880-6429",
            "fax_number": "503-988-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 N MONTANA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174557",
            "telephone_number": "503-232-0969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 SW Oak St Ste 520",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972041810",
            "country_code": "US",
            "telephone_number": "503-988-5464",
            "fax_number": "503-988-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALCONE",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L10557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.