Active NPI
Erica Marie Mau, MS, LPC, NCC, CCTP
- Mental Health Counselor
- Sandy, OR
National Provider Identifier
1699218826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C4378
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C4378 | OR | MD | Mental 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.