Active NPI
Lakewood Counseling and Mediation
- Community/Behavioral Health Agency
- Lake Oswego, OR
National Provider Identifier
1497965784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- C0168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Baker, M.A.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Lake Oswego, OR
- NPI 1053521328
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.