Miranda Bayard-Clark, M.A., LPC INTERN,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60599847 Issued in WA

Practice address

15110 Boones Ferry Rd Ste 150
Lake Oswego, OR 97035-3486

Phone

(503) 395-7592

NPI assigned

Nov 8, 2013

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1295164309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 BOONES FERRY RD STE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15110 BOONES FERRY RD STE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353486",
            "telephone_number": "503-395-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYARD-CLARK",
        "first_name": "MIRANDA",
        "credential": "M.A., LPC INTERN,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60599847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Bates
• Susan Ranae Battle, FNP
• Bauer Medical Association
• Ryan Baugus, DPT
• Karla Maria Baur, M.S.W.
• Soheila Beberness, LAC
• Andrew Witte Beck, RPH
• Kendra Vos Becker
• Tabitha Becker
• Anna Beckstrand

• Mental Health Counselor in Lake Oswego, OR
• Providers in Lake Oswego, 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 Jan 15, 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.