Individual provider Active NPI

Meagan Marie Desart, LPC

  • Mental Health Counselor
  • Astoria, OR
National Provider Identifier
1841748472
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4757 Issued in OR
Practice address
1428 Commercial St
Astoria, OR 97103-3815
Phone
(253) 576-1080
NPI assigned
Sep 12, 2016
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C4757 OR Primary

Addresses

Primary practice location

1428 Commercial St
Astoria, OR 97103-3815

Mailing address

35131 Wildcat LN
Astoria, OR 97103-8349
Phone (253) 576-1080

Other practice location 1

65 N Highway 101 Ste 204
Warrenton, OR 97146-9371
Phone (503) 325-0241

Other practice location 2

35131 Wildcat Ln
Astoria, OR 97103-8349
Phone (253) 576-1080

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
C4757ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1841748472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35131 WILDCAT LN",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971038349",
            "telephone_number": "253-576-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 COMMERCIAL ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033815",
            "telephone_number": "253-576-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 N Highway 101 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "OR",
            "postal_code": "971469371",
            "country_code": "US",
            "telephone_number": "503-325-0241",
            "fax_number": "503-861-2043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35131 Wildcat Ln",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "OR",
            "postal_code": "971038349",
            "country_code": "US",
            "telephone_number": "253-576-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESART",
        "first_name": "MEAGAN",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.