Organization Active NPI

Lakewood Counseling and Mediation

  • Community/Behavioral Health Agency
  • Lake Oswego, OR
National Provider Identifier
1497965784
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C0168 Issued in OR
Legal business name
LAKEWOOD COUNSELING AND MEDIATION
Practice address
543 3Rd St
Suite C-12
Lake Oswego, OR 97034-3067
Phone
(503) 697-3484
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Baker, M.A.NPI 1053521328
Title
Director
Phone
(503) 697-3484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X T0103 OR
Community/Behavioral Health Agency 251S00000X C0168 OR Primary

Addresses

Primary practice location

543 3Rd St
Suite C-12
Lake Oswego, OR 97034-3067

Mailing address

PO Box 935
Lake Oswego, OR 97034-0101

National Provider Directory

National Provider Directory

Locations

543 3rd St
Ste C12
Lake Oswego, OR 97034
Phone (503) 697-3484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497965784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970340101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 3RD ST",
            "address_2": "SUITE C-12",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343067",
            "telephone_number": "503-697-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD COUNSELING AND MEDIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-697-3484",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "T0103",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C0168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.