Individual provider Active NPI

Taouea J Vitousek, LCSW

  • Clinical Social Worker
  • Terrebonne, OR
National Provider Identifier
1760768030
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7687 Issued in OR
Practice address
14125 SW Ridge PL
Terrebonne, OR 97760-9370
Phone
(541) 604-8431
Fax
(541) 229-1213
NPI assigned
Oct 31, 2011
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L7687 OR Primary

Addresses

Primary practice location

14125 SW Ridge PL
Terrebonne, OR 97760-9370

Mailing address

14125 SW Ridge PL
Terrebonne, OR 97760-9370
Phone (541) 604-8431

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180615001721 OR Practitioner - Clinical Social Worker 9739434770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Terrebonne, OR 97760
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
La Pine Community Health Center CurrentSince Oct 1, 2023 Accepting new patients
Madras Medical Group P.C. CurrentSince Aug 26, 2020 Accepting new patients
La Pine Community Health Center CurrentSince Oct 1, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince Dec 18, 2024 Accepting new patients

Locations

51600 Huntington Rd
Ste C
La Pine, OR 97739
Phone (541) 536-3435

76 NE 12th St
Madras, OR 97741
Phone (541) 475-3874

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14009/brand/1/csg/1/fhir/r4
  • FHIR API: https://webprd.ochin.org/prd-fhir/mychartlpchc/api/FHIR/R4
  • Direct secure messaging: taouea.vitousek.1@14009.direct.athenahealth.com
  • Direct secure messaging: tvitousek664096@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1760768030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14125 SW RIDGE PL",
            "city": "TERREBONNE",
            "state": "OR",
            "postal_code": "977609370",
            "telephone_number": "541-604-8431",
            "fax_number": "541-229-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 SW RIDGE PL",
            "city": "TERREBONNE",
            "state": "OR",
            "postal_code": "977609370",
            "telephone_number": "541-604-8431",
            "fax_number": "541-229-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITOUSEK",
        "first_name": "TAOUEA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrebonne, OR

Sources for this page

Verify at the official NPI Registry.