Individual provider Active NPI

Catherine Anne Cupp, LPC

  • Professional Counselor
  • Beaverton, OR
National Provider Identifier
1851526024
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1182 Issued in OR
Practice address
4900 SW Griffith Dr Ste 235
Beaverton, OR 97005-4649
Phone
(541) 377-9011
Fax
(503) 526-3812
NPI assigned
May 18, 2009
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1182 OR Primary

Addresses

Primary practice location

4900 SW Griffith Dr Ste 235
Beaverton, OR 97005-4649

Mailing address

13570 SW 6TH St
Beaverton, OR 97005-3869
Phone (541) 377-9011

Other identifiers 1

IdentifierTypeStateIssuer
C1182OtherORLICENCED PROFESSIONAL COUNSELOR

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
C1182ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Judith Lynn Pulliam CurrentSince Feb 26, 2023 Accepting new patients

Locations

4900 SW Griffith Dr
Ste 235
Beaverton, OR 97005
Phone (503) 805-9456

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1851526024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 SW 6TH ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053869",
            "telephone_number": "541-377-9011",
            "fax_number": "503-526-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 235",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054649",
            "telephone_number": "541-377-9011",
            "fax_number": "503-526-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED PROFESSIONAL COUNSELOR",
            "identifier": "C1182",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.