Individual provider Active NPI

Lauren Sletta, LPC

  • Counselor
  • Corvallis, OR
National Provider Identifier
1316321185
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
260 SW Madison Ave Ste 104-3
Corvallis, OR 97333-4798
Phone
(541) 203-3848
Fax
(541) 203-3211
NPI assigned
Jul 11, 2015
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C6072 OR
Music Therapist 225A00000X T-10177800
Counselor 101Y00000X Primary

Addresses

Primary practice location

260 SW Madison Ave Ste 104-3
Corvallis, OR 97333-4798

Mailing address

260 SW Madison Ave Ste 104-3
Corvallis, OR 97333-4798
Phone (541) 203-3848

Other identifiers 1

IdentifierTypeStateIssuer
500695569MedicaidOR

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
C6072ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Development, Inc. Mental Health Past Accepting new patients
Lauren Sletta, LPC, LLC Mental Health PastSince Jul 9, 2023 Accepting new patients
Center for Family Development, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

Organizations & group practices 3

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": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1316321185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SW MADISON AVE STE 104-3",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334798",
            "telephone_number": "541-203-3848",
            "fax_number": "541-203-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SW MADISON AVE STE 104-3",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334798",
            "telephone_number": "541-203-3848",
            "fax_number": "541-203-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLETTA",
        "first_name": "LAUREN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-11",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6072",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "T-10177800",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500695569",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.