Individual provider Active NPI

Paulette Marie Kaskinen, LPC

  • Mental Health Counselor
  • Springfield, OR
National Provider Identifier
1487729943
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2464 Issued in OR
Practice address
1705 Centennial Blvd Ste 2
Springfield, OR 97477-3320
Phone
(541) 818-0009
Fax
(541) 780-6967
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2464 OR Primary

Addresses

Primary practice location

1705 Centennial Blvd Ste 2
Springfield, OR 97477-3320

Mailing address

5819 NE Glisan St Apt 420
Portland, OR 97213-3779
Phone (503) 752-7621

Other practice location 1

5819 NE Glisan St Apt 420
Portland, OR 97213-3779
Phone (503) 752-7621

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
I20241121001178 OR Practitioner - Mental Health Counselor 2668907114 Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2464ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Directions, LLC CurrentSince Sep 17, 2023 Accepting new patients
Oregon Directions, LLC Mental Health CurrentSince Sep 17, 2023 Accepting new patients

Locations

1705 Centennial Blvd
Ste 2
Springfield, OR 97477
Phone (970) 962-4819

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1487729943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 NE GLISAN ST APT 420",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133779",
            "telephone_number": "503-752-7621",
            "fax_number": "503-752-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CENTENNIAL BLVD STE 2",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773320",
            "telephone_number": "541-818-0009",
            "fax_number": "541-780-6967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5819 NE Glisan St Apt 420",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972133779",
            "country_code": "US",
            "telephone_number": "503-752-7621",
            "fax_number": "503-752-7621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASKINEN",
        "first_name": "PAULETTE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.