NPIMap

Organization Active NPI

Conscious Connections Youth Counseling LLC

  • Clinical Social Worker
  • Klamath Falls, OR
National Provider Identifier
1306528112
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONSCIOUS CONNECTIONS YOUTH COUNSELING LLC
Practice address
905 Main St Ste 205
Klamath Falls, OR 97601-6066
Phone
(541) 238-2289
Fax
(541) 835-3322
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Angela Wright, LCSWNPI 1760962443
Title
Owner/LCSW
Phone
(541) 238-2289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

905 Main St Ste 205
Klamath Falls, OR 97601-6066

Mailing address

4542 Coopers Hawk Rd
Klamath Falls, OR 97601-9600
Phone (541) 891-3881

National Provider Directory

National Provider Directory

Locations

905 Main St
Ste 205
Klamath Falls, OR 97601
Phone (541) 238-2289

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1306528112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 COOPERS HAWK RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019600",
            "telephone_number": "541-891-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST STE 205",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016066",
            "telephone_number": "541-238-2289",
            "fax_number": "541-835-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS CONNECTIONS YOUTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "541-238-2289",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.