Individual provider Active NPI

Meggan McLarrin, LPC

  • Mental Health Counselor
  • Coos Bay, OR
National Provider Identifier
1679939524
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4947 Issued in OR
Practice address
375 Park Ave Ste 2
Coos Bay, OR 97420-2242
Phone
(541) 751-5728
Fax
(541) 543-2215
NPI assigned
Jan 7, 2016
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X C4947 OR Primary

Addresses

Primary practice location

375 Park Ave Ste 2
Coos Bay, OR 97420-2242

Mailing address

375 Park Ave Ste 2
Coos Bay, OR 97420-2242
Phone (541) 751-5728

Other practice location 1

281 LaClair St
Coos Bay, OR 97420-2988
Phone (541) 266-6763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111002702 OR Practitioner - Mental Health Counselor 7012368236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Waterfall Clinic IncorporatedGroup PAC ID 5698740355, 16 clinicians

Practice addresses (Care Compare)

1890 Waite St
Suite 1
North Bend, OR 97459-1229
Phone (541) 435-7033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C4947ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waterfall Clinic, Incorporated CurrentSince Jan 11, 2024 Accepting new patients
Waterfall Clinic, Incorporated CurrentSince Jan 11, 2024 Accepting new patients
Waterfall Clinic Incorporated Current Accepting new patients

Locations

1890 Waite St
Ste 1
North Bend, OR 97459
Phone (541) 435-7033

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1679939524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 PARK AVE STE 2",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202242",
            "telephone_number": "541-751-5728",
            "fax_number": "541-543-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 PARK AVE STE 2",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202242",
            "telephone_number": "541-751-5728",
            "fax_number": "541-543-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 LaClair St",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974202988",
            "country_code": "US",
            "telephone_number": "541-266-6763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLARRIN",
        "first_name": "MEGGAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

Verify at the official NPI Registry.