Lynae M Nelson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4674 Issued in OR

Practice address

4800 Meadows Road
Suite #300
Lake Oswego, OR 97035-0026

Phone

(971) 201-1720

Fax

(541) 726-2467

NPI assigned

Aug 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Trauma Healing NW, LLC

  • Mental Health Counselor
  • Lake Oswego, OR
  • NPI 1669088050
  NPD Authorized official

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1699089243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEADOWS ROAD",
            "address_2": "SUITE #300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350026",
            "telephone_number": "971-201-1720",
            "fax_number": "541-726-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEADOWS ROAD",
            "address_2": "SUITE #300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350026",
            "telephone_number": "971-201-1720",
            "fax_number": "541-726-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LYNAE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richelle Mary Neal, M.D.
• Tanya Neely
• Zachary Robert Nelms, L.AC.
• Jacquelyn Marie Nelsen, PT
• Arthur Jeffery Nelson, PA-C
• Sally Lynn Nelson, R.D.H.
• Marci J Nemhauser, PSYD
• Nicole K Nesser, LMT
• Hannah Rose Neumann, RDH
• Sydney Reynolds Neumann, DPT

• Mental Health Counselor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.