| Cascade Counseling And Consulting Llc | |
|
1800 Blankenship Rd Ste 448 West Linn OR 97068-4191 | |
| (971) 378-0367 | |
| (503) 974-9679 |
| Full Name | Cascade Counseling And Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 Blankenship Rd Ste 448, West Linn, Oregon |
| Authorized Official Name and Position | Prentice Geary (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9713780367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Counseling And Consulting Llc 1800 Blankenship Rd Ste 448 West Linn OR 97068-4191 Ph: (971) 378-0367 | Cascade Counseling And Consulting Llc 1800 Blankenship Rd Ste 448 West Linn OR 97068-4191 Ph: (971) 378-0367 |
| NPI Number | 1700477619 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 4082153317 |
|---|---|
| Medicare Enrollment ID | O20240829003288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700477619 | NPI | - | NPPES |
| 500798677 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Caroline Keziah Thiongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063287837 PECOS PAC ID: 5193264893 Enrollment ID: I20240826003654 |
| Provider Name | Nina Frick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578954277 PECOS PAC ID: 1355880634 Enrollment ID: I20240830000591 |
| Provider Name | Rochelle Rakowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346909918 PECOS PAC ID: 7719426931 Enrollment ID: I20240830002453 |
| Provider Name | Maria G Makowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801657887 PECOS PAC ID: 8325588114 Enrollment ID: I20240906003985 |
| Provider Name | Heather Baeckel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528655800 PECOS PAC ID: 7810428562 Enrollment ID: I20241004001314 |
| Provider Name | Alexa Jenkins Wynn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912527201 PECOS PAC ID: 4981131224 Enrollment ID: I20241226002095 |
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