Individual provider Active NPI

Lauralen Elise Pahls Perham, LMFT

  • Marriage & Family Therapist
  • Roseburg, OR
National Provider Identifier
1841535507
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0850 Issued in OR
Practice address
1652 NW Hughwood CT
Roseburg, OR 97471-8844
Phone
(541) 673-3985
Fax
(541) 673-8060
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0850 OR Primary

Addresses

Primary practice location

1652 NW Hughwood CT
Roseburg, OR 97471-8844

Mailing address

2855 NW Kline St
Roseburg, OR 97471-5552
Phone (541) 673-3985

Other identifiers 1

IdentifierTypeStateIssuer
500662614MedicaidOR

Other names 1

  • Lauralen Elise Pahls Former name

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
I20250925003218 OR Practitioner - Marriage and Family Therapist 4082119433 Practice locations: Roseburg, OR

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1652 NW Hughwood CT
Roseburg, OR 97471-8844
Phone (541) 673-3985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T0850ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1841535507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 NW KLINE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715552",
            "telephone_number": "541-673-3985",
            "fax_number": "541-673-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 NW HUGHWOOD CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718844",
            "telephone_number": "541-673-3985",
            "fax_number": "541-673-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHLS PERHAM",
        "first_name": "LAURALEN",
        "middle_name": "ELISE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500662614",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURALEN",
            "last_name": "PAHLS",
            "middle_name": "ELISE",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.