NPIMap

Organization Active NPI

Oregon City Counseling, LLC

  • Clinical Social Worker
  • Oregon City, OR
National Provider Identifier
1629602404
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OREGON CITY COUNSELING, LLC
Practice address
999 Abernethy Rd
Oregon City, OR 97045-1175
Phone
(503) 891-6200
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Slade Wolf, LCSWNPI 1679879316
Title
Owner
Phone
(503) 891-6200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

999 Abernethy Rd
Oregon City, OR 97045-1175

Mailing address

999 Abernethy Rd
Oregon City, OR 97045-1175
Phone (503) 891-6200

Other names 1

  • Oregon City Counseling Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230816002635 OR Part B Supplier - Clinic/Group Practice 0941676878 Receives reassigned benefits from 1 practitioner
Practice locations: Oregon City, OR

National Provider Directory

National Provider Directory

Locations

714 Main St
Ste B207
Oregon City, OR 97045
Phone (503) 593-9091

714 Main St
Ste 207
Oregon City, OR 97045
Phone (503) 891-6200

Practitioners & affiliated clinicians

Practitioners 8

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": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1629602404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ABERNETHY RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451175",
            "telephone_number": "503-891-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ABERNETHY RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451175",
            "telephone_number": "503-891-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON CITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "SLADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-891-6200",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon City Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Oregon City Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.