Waystone Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WAYSTONE THERAPY LLC

Practice address

2951 SE Taylor St
Portland, OR 97214-4032

Phone

(503) 453-4807

Fax

(971) 544-7182

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Courtney WatsonNPI 1184290413

Title

Owner

Phone

(503) 453-4807

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Courtney A Watson, MA, LPC INTERN, CHT

  • Professional Counselor
  • Portland, OR
  • NPI 1184290413
  NPD Authorized official

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1962158170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15142",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972935142",
            "telephone_number": "503-453-4807",
            "fax_number": "971-544-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 SE TAYLOR ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144032",
            "telephone_number": "503-453-4807",
            "fax_number": "971-544-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYSTONE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-453-4807"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500802870",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Wayland Llewellin, LAC
• Wayne H Mori
• Tanya Lynn Wayne, PA-C
• Barbara Wayson, M.D.
• Kim A Wayson, MD
• Paige T Wayton
• Waywest Massage
• We Rise, LLC
• Lori Linn Weagant-Ray, RN
• Kristen Weakland

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.