Active NPI
Annora Radell Cavoulas, M.A. LMFT
- Marriage & Family Therapist
- Lake Oswego, OR
National Provider Identifier
1801958178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1547
- Practice address
- 5 Centerpointe Dr
Lake Oswego, OR 97035-8651 - Phone
- (971) 213-2837
- NPI assigned
- Dec 14, 2006
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1547 | OR | Primary |
Addresses
Primary practice location
5 Centerpointe Dr
Lake Oswego, OR 97035-8651
Mailing address
5 Centerpointe Dr
Lake Oswego, OR 97035-8651
Phone (971) 213-2837
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
- Marriage and Family Therapist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5 Centerpointe Dr
Suite 320
Lake Oswego, OR 97035-8696
Phone (971) 213-2837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1547 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Counselor | Current | Accepting new patients |
| Western Psychological and Counseling Services LLC | Counselor | Current | Accepting new patients |
Locations
5 Centerpointe Dr
Ste 320
Lake Oswego, OR 97035
Phone (971) 200-5635
Interoperability endpoints
- lifestancehealth.annoracavoulas@148835.advancedmd-direct.com
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Counselor, OR
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1801958178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CENTERPOINTE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970358651",
"telephone_number": "971-213-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CENTERPOINTE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970358651",
"telephone_number": "971-213-2837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVOULAS",
"first_name": "ANNORA",
"middle_name": "RADELL",
"credential": "M.A. LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.