Pacific Synergies NW LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PACIFIC SYNERGIES NW LLC

Practice address

418 Beavercreek Rd Ste 102
Oregon City, OR 97045-4287

Phone

(971) 203-0683

Fax

(503) 212-0174

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Andrea Redeau, LPC

Title

Clinic Director

Phone

(503) 998-5613

Specialties & licenses 2

Addresses

Other names 1

• Ellie Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Ross Caruso, MSW, LCSW, CADC III

  • Clinical Social Worker
  • Oregon City, OR
  • NPI 1841605664

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Jessica Lynne Redmond

  • Professional Counselor
  • Oregon City, OR
  • NPI 1164766051

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1902644560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BEAVERCREEK RD STE 102",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454287",
            "telephone_number": "971-203-0683",
            "fax_number": "503-212-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BEAVERCREEK RD STE 102",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454287",
            "telephone_number": "971-203-0683",
            "fax_number": "503-212-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SYNERGIES NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "REDEAU",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-998-5613",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bounthieng S. Ouanesisouk, RN
• Kevin Mark Ounjian, DC
• Brittany Rose Oxford
• Pacific Primary Care and Integrative Health, Inc.
• Pacific Rise Care LLC
• Terry Paddon, PHD
• Susan H Pak, OTR
• Mason Michael Palmer, LMT
• Katie Elizabeth Palumbo
• Megan Panapa, MD

• Professional Counselor in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.