Individual provider Active NPI

Patricia Ann Crosthwait, LMFT, LPC, ATR-BC

  • Marriage & Family Therapist
  • Lake Oswego, OR
National Provider Identifier
1609993575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
TO200 Issued in OR
Practice address
47 Ladd St
Lake Oswego, OR 97034-3853
Phone
(503) 697-0515
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X TO200 OR Primary

Addresses

Primary practice location

47 Ladd St
Lake Oswego, OR 97034-3853

Mailing address

218 Cervantes
Lake Oswego, OR 97035-1208
Phone (503) 697-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TO200ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609993575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CERVANTES",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351208",
            "telephone_number": "503-697-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 LADD ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343853",
            "telephone_number": "503-697-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSTHWAIT",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LMFT, LPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "TO200",
            "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 Jul 8, 2007; 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.