Active NPI
Melinda Eileen Laus, LPC
- Professional Counselor
- Sherwood, OR
National Provider Identifier
1710678784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4992
- Practice address
- 22644 SW Pinehurst CT
Sherwood, OR 97140 - Phone
- (503) 806-6441
- NPI assigned
- May 18, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C4992 | OR | |
| Professional Counselor | 101YP2500X | C4992 | OR | Primary |
Addresses
Primary practice location
22644 SW Pinehurst CT
Sherwood, OR 97140
Mailing address
21370 SW Langer Farms Pkwy Ste 142 Box 251
Ste 142 Box 251
Sherwood, OR 97140
Phone (503) 806-6441
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4992 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1710678784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21370 SW LANGER FARMS PKWY STE 142 BOX 251",
"address_2": "STE 142 BOX 251",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "97140",
"telephone_number": "503-806-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22644 SW PINEHURST CT",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "97140",
"telephone_number": "503-806-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUS",
"first_name": "MELINDA",
"middle_name": "EILEEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C4992",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.