NPIMap

Organization Active NPI

Children'S Clinical Care, LLC

  • Mental Health Counselor
  • Lake Oswego, OR
National Provider Identifier
1699166058
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R3587 Issued in OR
Legal business name
CHILDREN'S CLINICAL CARE, LLC
Practice address
445 2ND St
#210
Lake Oswego, OR 97034-3232
Phone
(503) 360-3700
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Lauren Elizabeth Corder, MANPI 1972706539
Title
Counselor
Phone
(503) 360-3700

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 R3587 OR Primary

Addresses

Primary practice location

445 2ND St
#210
Lake Oswego, OR 97034-3232

Mailing address

445 2ND St
#210
Lake Oswego, OR 97034-3232
Phone (503) 360-3700

National Provider Directory

National Provider Directory

Locations

445 2nd St
Ste 210
Lake Oswego, OR 97034
Phone (503) 360-3700

Practitioners & affiliated clinicians

Practitioners 1

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": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1699166058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 2ND ST",
            "address_2": "#210",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343232",
            "telephone_number": "503-360-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 2ND ST",
            "address_2": "#210",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343232",
            "telephone_number": "503-360-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CLINICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "CORDER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "503-360-3700",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R3587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 6, 2015; 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.