Individual provider Active NPI

Lissa Diane Calder, MASTERS DEGREE CMHC

  • Mental Health Counselor
  • Oregon City, OR
National Provider Identifier
1932912391
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9480 Issued in OR
Practice address
13950 Caufield Rd
Oregon City, OR 97045-9002
Phone
(503) 333-6513
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 C9480 OR Primary

Addresses

Primary practice location

13950 Caufield Rd
Oregon City, OR 97045-9002

Mailing address

13950 Caufield Rd
Oregon City, OR 97045-9002
Phone (503) 333-6513

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
I20250310003028 OR Practitioner - Mental Health Counselor 7113448838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13950 Caufield Rd
Oregon City, OR 97045-9002
Phone (503) 333-6513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clackamas Clinical Mental Health CurrentSince Jan 29, 2025 Accepting new patients

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": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1932912391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 CAUFIELD RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970459002",
            "telephone_number": "503-333-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 CAUFIELD RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970459002",
            "telephone_number": "503-333-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDER",
        "first_name": "LISSA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MASTERS DEGREE CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.