Active NPI
Laura A Edwards-Leeper, PH.D.
- Clinical Child & Adolescent Psychologist
- Beaverton, OR
National Provider Identifier
1346260932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 2260
- Practice address
- 15455 NW Greenbrier Pkwy
Ste 240
Beaverton, OR 97006-7374 - Phone
- (503) 713-5323
- Fax
- (503) 617-0475
- NPI assigned
- Jul 19, 2006
- Last updated
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8599 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2260 | OR | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY60221263 | WA |
Addresses
Primary practice location
15455 NW Greenbrier Pkwy
Ste 240
Beaverton, OR 97006-7374
Mailing address
15455 NW Greenbrier Pkwy
Ste 240
Beaverton, OR 97006-7374
Phone (503) 713-5323
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60221263 | WA | MD | Clinical Child & Adolescent Psychologist |
| 2260 | OR | MD | Clinical Social Worker |
| 8599 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2 Roads Crossing Healthcare, PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1346260932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15455 NW GREENBRIER PKWY",
"address_2": "STE 240",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067374",
"telephone_number": "503-713-5323",
"fax_number": "503-617-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 NW GREENBRIER PKWY",
"address_2": "STE 240",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067374",
"telephone_number": "503-713-5323",
"fax_number": "503-617-0475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS-LEEPER",
"first_name": "LAURA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8599",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OR",
"license": "2260",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WA",
"license": "PY60221263",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.