Individual provider Active NPI

Mary Esther Joyce, LPC, CADC I

  • Mental Health Counselor
  • Redmond, OR
National Provider Identifier
1386941763
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
OR2699 Issued in OR
Practice address
2775 SW 17TH Place
Suite 3
Redmond, OR 97756
Phone
(503) 690-0790
Fax
(855) 474-7377
NPI assigned
Feb 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R1626 OR
Mental Health Counselor 101YM0800X OR2699 OR Primary

Addresses

Primary practice location

2775 SW 17TH Place
Suite 3
Redmond, OR 97756

Mailing address

2775 SW 17TH Place
Suite 3
Redmond, OR 97756
Phone (503) 690-0790

Other identifiers 1

IdentifierTypeStateIssuer
500637638MedicaidOR

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
OR2699ORMDMental Health Counselor
R1626ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1298073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1386941763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SW 17TH PLACE",
            "address_2": "SUITE 3",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "503-690-0790",
            "fax_number": "855-474-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 SW 17TH PLACE",
            "address_2": "SUITE 3",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "503-690-0790",
            "fax_number": "855-474-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "MARY",
        "middle_name": "ESTHER",
        "credential": "LPC, CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-19",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R1626",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "OR2699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500637638",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.