Clackamas Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLACKAMAS COUNSELING CENTER, LLC

Practice address

5200 Meadows Rd Ste 150
Lake Oswego, OR 97035-0066

Phone

(503) 351-0463

NPI assigned

Nov 26, 2020

Organization subpart

No

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

Authorized official

Name

Colette Dawn Kelsey-Fike, LCSW

Title

Therapist

Phone

(503) 477-2428

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colette Dawn Kelsey, LCSW

  • Clinical Social Worker
  • Milwaukie, OR
  • NPI 1588799621
  NPD

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1659975944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 MEADOWS RD STE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350066",
            "telephone_number": "503-351-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 MEADOWS RD STE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350066",
            "telephone_number": "503-351-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-26",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "KELSEY-FIKE",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "503-477-2428",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Chvirov
• Jennifer Renee Cicilian, ND, LAC
• Rachel Cisco, PTA
• Citrine Holistic Health, LLC
• City of Lake Oswego
• Clackamas County School District 7
• Joseph Allen Clark, LMT
• Kylie Clark
• Mackenzie Margaret Clark, ND
• Clawson & Ebel LLC

• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.