Individual provider Active NPI

Paul McLaughlin

  • Counselor
  • Tigard, OR
National Provider Identifier
1588079826
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
14485 SW Beef Bend Rd
Apt. J1
Tigard, OR 97224-1950
Phone
(805) 290-0432
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

14485 SW Beef Bend Rd
Apt. J1
Tigard, OR 97224-1950

Mailing address

14485 SW Beef Bend Rd
Apt. J1
Tigard, OR 97224-1950
Phone (805) 290-0432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210309002515 OR Practitioner - Clinical Psychologist 3173939535 Reassigns benefits to 1 organization
I20231017003655 CA Practitioner - Clinical Psychologist 3173939535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid Valley Counseling Center IncGroup PAC ID 2769479948, 13 clinicians

Practice addresses (Care Compare)

2601 25TH St SE
Suite 420
Salem, OR 97302-1285
Phone (503) 566-6533

5653 Northwind CT
Ventura, CA 93003-0241
Phone (503) 364-6093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3224ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Valley Counseling Center Inc CurrentSince May 1, 2021 Accepting new patients

Locations

2250 D St NE
Salem, OR 97301
Phone (503) 364-6093

2601 25th St SE
Ste 420
Salem, OR 97302
Phone (503) 364-6093

Organizations & group practices 1

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1588079826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14485 SW BEEF BEND RD",
            "address_2": "APT. J1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972241950",
            "telephone_number": "805-290-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14485 SW BEEF BEND RD",
            "address_2": "APT. J1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972241950",
            "telephone_number": "805-290-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.