Individual provider Active NPI

Georgeta Boanca Vandermeer, M.A

  • Counselor
  • Camas, WA
National Provider Identifier
1952024937
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
R6643 Issued in OR
Practice address
3400 SE 196TH Ave Ste 102
Camas, WA 98607-8862
Phone
(360) 975-0512
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X R6643 OR Primary

Addresses

Primary practice location

3400 SE 196TH Ave Ste 102
Camas, WA 98607-8862

Mailing address

6915 SE Plum Dr
Milwaukie, OR 97222-2061
Phone (971) 222-4938

Other names 1

  • Georgeta Boanca Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address georgeta@lacamascounseling.com

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
R6643ORMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lacamas Counseling LLC PastSince Sep 25, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1952024937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 SE PLUM DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222061",
            "telephone_number": "971-222-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SE 196TH AVE STE 102",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078862",
            "telephone_number": "360-975-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMEER",
        "first_name": "GEORGETA",
        "middle_name": "BOANCA",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OR",
            "license": "R6643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "georgeta@lacamascounseling.com",
            "affiliation": "N",
            "endpointDescription": "Professional email",
            "address_1": "3400 SE 196th Ave Ste 102",
            "city": "Camas",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986078862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GEORGETA",
            "last_name": "BOANCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.