Eastside Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EASTSIDE COUNSELING LLC

Practice address

3234 NE Wasco St Ste G
Portland, OR 97232-1981

Phone

(541) 968-6624

NPI assigned

Dec 16, 2019

Organization subpart

No

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

Authorized official

Name

Noah Carolan

Title

Organizer/Provider

Phone

(541) 968-6624

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1942848353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 NE WASCO ST STE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321981",
            "telephone_number": "541-968-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 NE WASCO ST STE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321981",
            "telephone_number": "541-968-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "CAROLAN",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "ORGANIZER/PROVIDER",
        "authorized_official_telephone_number": "541-968-6624"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce L Eastman, FNP
• Laura Eastmond, DPT
• Eastmoreland Orthopedic Clinic, P.C.
• Eastmoreland Surgical Clinic
• Eastport Plaza Dental P.C.
• Eastside Electrology
• Eastside Electrology of Portland
• Eastside Foot and Ankle
• Eastside Nurse Delegation
• Eastside Wellness Center, LLC (Element Wellness and Sports Rehabilitation)

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.