Individual provider Active NPI

Michael Oyster, LPC, CADC III

  • Mental Health Counselor
  • Corvallis, OR
National Provider Identifier
1821114836
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1482 Issued in OR
Practice address
344 NW 6TH St
Corvallis, OR 97330-4814
Phone
(541) 207-6212
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADC III, 95-04-154 OR
Mental Health Counselor 101YM0800X C1482 OR Primary

Addresses

Primary practice location

344 NW 6TH St
Corvallis, OR 97330-4814

Mailing address

344 NW 6TH St
Corvallis, OR 97330-4814
Phone (541) 207-6212

Other identifiers 2

IdentifierTypeStateIssuer
95-04-154OtherORCADC III IN OREGON
C1482OtherORLPC NUMBER FOR OREGON

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

LicenseStateTypeSpecialty
C1482ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1821114836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 NW 6TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304814",
            "telephone_number": "541-207-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 NW 6TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304814",
            "telephone_number": "541-207-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYSTER",
        "first_name": "MICHAEL",
        "credential": "LPC, CADC III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "CADC III, 95-04-154",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC III IN OREGON",
            "identifier": "95-04-154",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC NUMBER FOR OREGON",
            "identifier": "C1482",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.