Active NPI
Carly Espinosa
- Counselor
- Oregon City, OR
National Provider Identifier
1740637479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C5481
- Practice address
- 22518 S Parrot Creek Rd
Oregon City, OR 97045-9725 - Phone
- (503) 266-3050
- NPI assigned
- May 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C5481 | OR | Primary |
Addresses
Primary practice location
22518 S Parrot Creek Rd
Oregon City, OR 97045-9725
Mailing address
22518 S Parrot Creek Rd
Oregon City, OR 97045-9725
Other practice location 1
1255 Pearl St
#102
Eugene, OR 97401-3570
Phone (541) 687-6983
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 |
|---|---|---|---|
| C5481 | OR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parrott Creek Child & Family Services | Past | Accepting new patients | |
| Senua Counseling Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Oregon City, OR
- NPI 1104253079
-
dba Senua Counseling Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Oswego, OR
- NPI 1902324122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1740637479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22518 S PARROT CREEK RD",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970459725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22518 S PARROT CREEK RD",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970459725",
"telephone_number": "503-266-3050"
}
],
"practiceLocations": [
{
"address_1": "1255 Pearl St",
"address_2": "#102",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974013570",
"country_code": "US",
"telephone_number": "541-687-6983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPINOSA",
"first_name": "CARLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "C5481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.