Colleen Sue Webb, MA, QMHP, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2457 Issued in OR

Practice address

685 NW 5TH St
Suite a
Corvallis, OR 97330-6462

Phone

(541) 234-7421

NPI assigned

Jun 22, 2010

Last updated

Jul 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colleen Adarhormazd Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Path of Life Counseling

  • Community/Behavioral Health Agency
  • Corvallis, OR
  • NPI 1528684024
  NPD

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1508187840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 NW 5TH ST",
            "address_2": "SUITE A",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306462",
            "telephone_number": "541-234-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 NW 5TH ST",
            "address_2": "SUITE A",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306462",
            "telephone_number": "541-234-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "COLLEEN",
        "middle_name": "SUE",
        "credential": "MA, QMHP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500631638",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "ADARHORMAZD",
            "credential": "MA, QMHP, LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Watson Jr., D.O.
• Joanna Christy Wattimena
• Nikolas Andrew Watts, B.S.
• Brianna Bonet Jewel Weatheroy
• Sevrin Weaver
• Sarah J Webb, PT
• Kaitlan L Webber
• Sarah Webber, LPN
• Anastasia Weber
• Julie A Weber, O.D.

• Professional Counselor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.

Verify at the official NPI Registry.