Marie Cecilia Dominique Cacao, M.A. M.F.T.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

110366U Issued in OR

Practice address

1002 Library CT
Oregon City, OR 97045-4066

Phone

(503) 655-8264

Fax

(503) 655-8428

NPI assigned

Apr 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marie Cecilia Dominique Von Walther Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1962675157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LIBRARY CT",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454066",
            "telephone_number": "503-655-8264",
            "fax_number": "503-655-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LIBRARY CT",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454066",
            "telephone_number": "503-655-8264",
            "fax_number": "503-655-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACAO",
        "first_name": "MARIE",
        "middle_name": "CECILIA DOMINIQUE",
        "name_prefix": "Mrs.",
        "credential": "M.A. M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "110366U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "VON WALTHER",
            "middle_name": "CECILIA DOMINIQUE",
            "credential": "M.A. M.F.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Jane Burr, LMFT
• Hillary Burton, MS, PMHNP
• Lisa Burton, RPH
• Jamie Buss
• Lisa Renee Butler
• Jin H Cai, D.O.
• Patricia Eileen Cain, DPM
• Lissa Diane Calder, MASTERS DEGREE CMHC
• Brittany D. Califf, MOT
• Alba Cecilia Callejas, MSW

• Addiction (Substance Use Disorder) Counselor in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.