Individual provider Active NPI

Carisa S Battin, MA, LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1902372212
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C7049 Issued in OR
Practice address
7409 SW Capitol Hwy Ste 205B
Portland, OR 97219-2432
Phone
(541) 581-0103
NPI assigned
Oct 15, 2018
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 C7049 OR Primary

Addresses

Primary practice location

7409 SW Capitol Hwy Ste 205B
Portland, OR 97219-2432

Mailing address

7409 SW Capitol Hwy Ste 205B
Portland, OR 97219-2432
Phone (541) 581-0103

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C7049ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1902372212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 SW CAPITOL HWY STE 205B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192432",
            "telephone_number": "541-581-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 SW CAPITOL HWY STE 205B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192432",
            "telephone_number": "541-581-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTIN",
        "first_name": "CARISA",
        "middle_name": "S",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.