Active NPI
Joelle Osterhaus, LCSW
- Clinical Social Worker
- Beavercreek, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6643
- Practice address
- 24910 S Dianne Dr
Beavercreek, OR 97004-8702 - Phone
- (503) 956-7526
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | L6643 | OR | |
| Clinical Social Worker | 1041C0700X | L6643 | OR | Primary |
Addresses
Primary practice location
24910 S Dianne Dr
Beavercreek, OR 97004-8702
Mailing address
5441 S Macadam Ave Ste R
Portland, OR 97239-6106
Phone (503) 956-7526
Other practice location 1
24910 S Dianne Dr
Beavercreek, OR 97004-8702
Phone (503) 956-7526
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93-0798039 | Other | TAX ID | |
| 456P24203 | Other | EIN | |
| L6643 | Other | OR | OREGON STATE BOARD OF SOCIAL WORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11740 SW 68TH Pkwy
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6643 | OR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Clinical | Current | Accepting new patients |
Locations
5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100
11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1730576901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE R",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106",
"telephone_number": "503-956-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24910 S DIANNE DR",
"city": "BEAVERCREEK",
"state": "OR",
"postal_code": "970048702",
"telephone_number": "503-956-7526"
}
],
"practiceLocations": [
{
"address_1": "24910 S Dianne Dr",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OR",
"postal_code": "970048702",
"country_code": "US",
"telephone_number": "503-956-7526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSTERHAUS",
"first_name": "JOELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L6643",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "93-0798039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EIN",
"identifier": "456P24203",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE BOARD OF SOCIAL WORK",
"identifier": "L6643",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.