Colleen L Struhar Latendresse

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R7102 Issued in OR

Practice address

19424 SW Larkcrest LN
Beaverton, OR 97003-2995

Phone

(503) 927-2773

NPI assigned

Sep 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cole Loueda Struhar Other name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shadow Mountain LLC.

  dba Shadow Mountain Recovery, Taos

  • Substance Abuse Rehabilitation Facility
  • Taos, NM
  • NPI 1295154888
  NPD (past)

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1376150912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19424 SW LARKCREST LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032995",
            "telephone_number": "503-927-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19424 SW LARKCREST LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032995",
            "telephone_number": "503-927-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUHAR LATENDRESSE",
        "first_name": "COLLEEN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R7102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLE",
            "last_name": "STRUHAR",
            "middle_name": "LOUEDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie A Streit, LPC
• Kelly Rae Strider, LPC, CADC III
• Melinda J Strnad, MD
• Gina M Strode, M.T.
• Marylou Strong
• Sandra Gale Stubbs, LPC
• Studio 15 Massage Therapy
• Laura Suarez
• Kimberly Suek, LPN
• Jamie Sugai

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, 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 Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.