Active NPI
Cheryl L Owen, ED.D., LPCC, LICDC
- Psychologist
- Vancouver, WA
National Provider Identifier
1659458941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6609
- Practice address
- 1601 E Fourth Plain Blvd
V3 Satp
Vancouver, WA 98661-3753 - Phone
- (360) 696-4061
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E2562 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 923352 | OH | |
| Psychologist | 103T00000X | 6609 | OH | Primary |
Addresses
Primary practice location
1601 E Fourth Plain Blvd
V3 Satp
Vancouver, WA 98661-3753
Mailing address
1601 E Fourth Plain Blvd
V3 Satp
Vancouver, WA 98661-3753
Phone (360) 696-4061
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
| License | State | Type | Specialty |
|---|---|---|---|
| E2562 | OH | MD | Counselor |
| 923352 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 6609 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1659458941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD",
"address_2": "V3 SATP",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613753",
"telephone_number": "360-696-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD",
"address_2": "V3 SATP",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613753",
"telephone_number": "360-696-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "CHERYL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "ED.D., LPCC, LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E2562",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "923352",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "6609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.