Active NPI
Caitlin Lynch, MS, NCC
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1427607415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Home Society of Washington | Past | Accepting new patients | |
| Full Spectrum Therapy LLC | Counselor | Past | 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.
-
- Counselor
- Portland, OR
- NPI 1568008001
-
dba Akin
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1063566867
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.