Tim Ludeman, LPC, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2972 Issued in OR

Practice address

8305 SE Monterey Ave
Suite 220
Happy Valley, OR 97086-7725

Phone

(503) 701-8839

NPI assigned

Feb 8, 2011

Last updated

Sep 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1730485707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE",
            "address_2": "SUITE 220",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867725",
            "telephone_number": "503-701-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE",
            "address_2": "SUITE 220",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867725",
            "telephone_number": "503-701-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDEMAN",
        "first_name": "TIM",
        "credential": "LPC, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-08",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2972",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C2972",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Ronald Lincoln III, MD, MPH
• Heather Beth Long, M.D.
• Alison Bowen Lord, CADC CANDIDATE, B.A.
• Asma L Love, MD
• Kimberly Lowery, PWS
• Luna Healthcare LLC (Luna Family Hearing)
• Joann Lundberg, MA, LPC, ATR-BC
• Tyler Lundquist, D.C.
• Ann-Lien Ai Luong, RN
• Jacquelyn Dale Lute, BA, AMS

• Professional Counselor in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.