Active NPI
Lisa Ann Langstraat, LPC
- Mental Health Counselor
- Milwaukie, OR
National Provider Identifier
1982957049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C2946
- Practice address
- 11630 SE 40TH Ave Ste a
Milwaukie, OR 97222-6195 - Phone
- (503) 919-1743
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C2946 | OR | Primary |
| Professional Counselor | 101YP2500X | C2946 | OR |
Addresses
Primary practice location
11630 SE 40TH Ave Ste a
Milwaukie, OR 97222-6195
Mailing address
634 E 13TH PL
Lafayette, OR 97127-9217
Phone (503) 919-1743
Other practice location 1
16115 SE Harold Ave
Milwaukie, OR 97267-3953
Phone (503) 919-1743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2024 through Feb 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2946 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555200000000",
"number": "1982957049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 E 13TH PL",
"city": "LAFAYETTE",
"state": "OR",
"postal_code": "971279217",
"telephone_number": "503-919-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11630 SE 40TH AVE STE A",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226195",
"telephone_number": "503-919-1743"
}
],
"practiceLocations": [
{
"address_1": "16115 SE Harold Ave",
"address_purpose": "LOCATION",
"city": "Milwaukie",
"state": "OR",
"postal_code": "972673953",
"country_code": "US",
"telephone_number": "503-919-1743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGSTRAAT",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2019-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C2946",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2946",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.