Diamond Caitlin Phelps

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

13590 NW Main St
Banks, OR 97106-9057

Phone

(503) 298-6562

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Growing Strength Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Banks, OR
  • NPI 1942912589
  NPD

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1821799016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 NW MAIN ST",
            "city": "BANKS",
            "state": "OR",
            "postal_code": "971069057",
            "telephone_number": "503-298-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 NW MAIN ST",
            "city": "BANKS",
            "state": "OR",
            "postal_code": "971069057",
            "telephone_number": "503-298-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DIAMOND",
        "middle_name": "CAITLIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnette Irene Hofler, RN
• Angela Kronenberg, MA
• Alison Marie Larson, RN
• Let Go in the Country Massage
• Northwest Medical Foundation of Tillamook
• Cassondra Lynne Phillipsen, DMD
• Crystal Annette Reddington, THW
• Kyrsten Roberts
• Jessica Hope Shiyomura, PT, DPT
• Emily Elizabeth Tarleton, LMT

• All providers in Banks, OR
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.