Organization Active NPI

Holly Shumway Counseling

  • Mental Health Counselor
  • Lake Oswego, OR
National Provider Identifier
1679054423
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3259 Issued in OR
Legal business name
HOLLY SHUMWAY COUNSELING
Doing business as
Holly Shumway Counseling
Practice address
15100 Boones Ferry Rd Ste 850
Lake Oswego, OR 97035-3467
Phone
(503) 784-3489
Fax
(503) 635-9127
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Holly Ann Shumway, LPCNPI 1215244587
Title
Counselor
Phone
(503) 784-3489

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C3259 OR Primary

Addresses

Primary practice location

15100 Boones Ferry Rd Ste 850
Lake Oswego, OR 97035-3467

Mailing address

15100 Boones Ferry Rd Ste 850
Lake Oswego, OR 97035-3467
Phone (503) 784-3489

Other names 1

  • Holly Shumway Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1679054423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 BOONES FERRY RD STE 850",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353467",
            "telephone_number": "503-784-3489",
            "fax_number": "503-635-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 BOONES FERRY RD STE 850",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353467",
            "telephone_number": "503-784-3489",
            "fax_number": "503-635-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY SHUMWAY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "SHUMWAY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "503-784-3489",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Shumway Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2018; 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.