Individual provider Active NPI

Erica Marie Mau, MS, LPC, NCC, CCTP

  • Mental Health Counselor
  • Sandy, OR
National Provider Identifier
1699218826
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4378 Issued in OR
Practice address
17400 SE 422ND Ave
Sandy, OR 97055-6729
Phone
(503) 705-9379
NPI assigned
Nov 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C4378 OR Primary

Addresses

Primary practice location

17400 SE 422ND Ave
Sandy, OR 97055-6729

Mailing address

17400 SE 422ND Ave
Sandy, OR 97055-6729
Phone (503) 705-9379

Other names 1

  • Erica Schippers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C4378ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1479600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1699218826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17400 SE 422ND AVE",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970556729",
            "telephone_number": "503-705-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 SE 422ND AVE",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970556729",
            "telephone_number": "503-705-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAU",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "credential": "MS, LPC, NCC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-20",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SCHIPPERS",
            "credential": "MS, NCC, CCTP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.