Individual provider Active NPI

Caitlin Lynch, MS, NCC

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1427607415
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1219 SE Lafayette St Ste 100
Portland, OR 97202-3802
Phone
(503) 675-5733
Fax
(971) 244-8583
NPI assigned
Sep 11, 2019
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1219 SE Lafayette St Ste 100
Portland, OR 97202-3802

Mailing address

1219 SE Lafayette St Ste 100
Portland, OR 97202-3802
Phone (503) 675-5733

Other practice location 1

309 W 12th St
Vancouver, WA 98660-2903
Phone (360) 695-1325

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250616002613 OR Practitioner - Mental Health Counselor 2860903945 Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Home Society of Washington PastSince Sep 1, 2019 Accepting new patients
Full Spectrum Therapy LLC Counselor PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 2

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1427607415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SE LAFAYETTE ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023802",
            "telephone_number": "503-675-5733",
            "fax_number": "971-244-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SE LAFAYETTE ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023802",
            "telephone_number": "503-675-5733",
            "fax_number": "971-244-8583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 W 12th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986602903",
            "country_code": "US",
            "telephone_number": "360-695-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CAITLIN",
        "credential": "MS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.