Individual provider Active NPI

Laura Evelyn Edwards, MS, LPC

  • Professional Counselor
  • Estacada, OR
National Provider Identifier
1932492972
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
535 NE 6TH Ave
Estacada, OR 97023-9312
Phone
(503) 630-8550
NPI assigned
May 24, 2011
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3962 OR
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

535 NE 6TH Ave
Estacada, OR 97023-9312

Mailing address

PO Box 546
Gresham, OR 97030-0132

Other practice location 1

16409 SE Division St Ste 216
Portland, OR 97236-1982
Phone (503) 610-0703

Other practice location 2

24934 Fir Grove Ln
Elmira, OR 97437-9751
Phone (541) 234-3255

Other practice location 3

54771 McKenzie Hwy
Blue River, OR 97413-9790
Phone (541) 822-3341

Other practice location 4

47815 Highway 58
Oakridge, OR 97463-9572
Phone (541) 782-8304

Other identifiers 1

IdentifierTypeStateIssuer
500707930MedicaidOR

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
I20240116004395 OR Practitioner - Other (Non-Physician) 8921450842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C3962ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Oakridge Clinic, P.C. Current Accepting new patients
Orchid Oakridge Clinic, PC CurrentSince Jan 1, 2024 Accepting new patients
Orchid Oakridge Clinic, PC PastSince Jul 1, 2023 Accepting new patients

Locations

24934 Fir Grove Ln
Elmira, OR 97437
Phone (541) 234-3255

535 NE 6th Ave
Estacada, OR 97023
Phone (503) 630-8550

37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15142/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.edwards.1@15142.direct.athenahealth.com
  • Direct secure messaging: laura.edwards.1@31614.direct.athenahealth.com

Organizations & group practices 3

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1932492972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NE 6TH AVE",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970239312",
            "telephone_number": "503-630-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16409 SE Division St Ste 216",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972361982",
            "country_code": "US",
            "telephone_number": "503-610-0703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24934 Fir Grove Ln",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "OR",
            "postal_code": "974379751",
            "country_code": "US",
            "telephone_number": "541-234-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54771 McKenzie Hwy",
            "address_purpose": "LOCATION",
            "city": "Blue River",
            "state": "OR",
            "postal_code": "974139790",
            "country_code": "US",
            "telephone_number": "541-822-3341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47815 Highway 58",
            "address_purpose": "LOCATION",
            "city": "Oakridge",
            "state": "OR",
            "postal_code": "974639572",
            "country_code": "US",
            "telephone_number": "541-782-8304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LAURA",
        "middle_name": "EVELYN",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3962",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500707930",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estacada, OR

Sources for this page

Verify at the official NPI Registry.