CAROLYN WATERFALL MS LPC LLC – Mental Health Counselor, NPI 1083374805

CAROLYN WATERFALL MS LPC LLC is a healthcare provider. based in Portland, Oregon. specializing in Mental Health Counselor. The NPI Number for CAROLYN WATERFALL MS LPC LLC is 1083374805

Main info

Organization
Name
CAROLYN WATERFALL MS LPC LLC
NPI
1083374805
Phone
(503) 686-3918
Address
12332 SW 72ND AVE STE 113
Authorized Official
CAROLYN WATERFALL OWNER/COUNSELOR LPC
Enumeration Date
20 December 2021
Last Update Date
21 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for CAROLYN WATERFALL MS LPC LLC

  • 12332 SW 72ND AVE STE 113

    PORTLAND, OR 97223

    Phone: (503) 686-3918

    Fax: (503) 624-6352

    Type: Mailing

  • 704 MAIN ST STE 305-8

    OREGON CITY, OR 970459704

    Phone: (503) 686-3918

    Fax: (503) 624-6352

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97223)

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Reviews

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Frequently asked questions

Can I verify CAROLYN WATERFALL MS LPC LLC with an NPI only?
You can start verification with NPI 1083374805 for CAROLYN WATERFALL MS LPC LLC, then check state licensing separately.
Is CAROLYN WATERFALL MS LPC LLC listed as active for patients and plans?
The listing shows CAROLYN WATERFALL MS LPC LLC as active in the NPI system.
What is CAROLYN WATERFALL MS LPC LLC's specialty?
The listing groups CAROLYN WATERFALL MS LPC LLC with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect CAROLYN WATERFALL MS LPC LLC on a map?
Expect Portland, Oregon as a primary anchor for CAROLYN WATERFALL MS LPC LLC unless the record lists multiple sites.
Is the information about CAROLYN WATERFALL MS LPC LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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