MS. THERESA CARMODY (NPI# 1962729764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962729764 |
| Entity Type | Individual |
| Full Name | MS. THERESA CARMODY |
| Credential | LMFT |
| Practice Address |
12555 Sw 1st St Beaverton OR 97005-0546 |
| Mailing Address |
4206 Sw Alfred St Portland OR 97219-6925 |
| Practice Telephone | 5033827843 |
| Mailing Telephone | 5033827843 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2011-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T0688 | OR | Behavioral Health & Social Service Providers |
| Street Address |
12555 SW 1ST ST |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-0546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073627402 | Gregory Paul Garcia | Acupuncturist | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2006-08-19 |
| 1689196651 | Glasshouse Effect Psychotherapy, Pllc | Social Worker | 12555 Sw 1st St, Beaverton, OR 97005 | 2017-07-12 |
| 1215463518 | Heather Greene LLC | Community/Behavioral Health | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2017-05-04 |
| 1104289891 | Aumkara James-paul Newhouse | Massage Therapist | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2016-03-31 |
| 1356714299 | Holly Morseman | Counselor | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2015-10-31 |
| 1013385764 | Ocean Natural Health | Exclusive Provider Organization | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2015-09-11 |
| 1770965857 | Healthy Notions, LLC | Specialist | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2015-06-24 |
| 1750701751 | Barbara Rose | Counselor | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2014-04-17 |
| 1356765150 | Robert Chellew | Massage Therapist | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2014-02-13 |
| 1578821435 | Donald Emanuel Toomim | Massage Therapist | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2012-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152967 | Mahvash Azadegan | Marriage & Family Therapist | 16940 Sw Kattegat Dr, Beaverton, OR 97006-8953 | 2020-07-29 |
| 1033754197 | Chelsea Amber Preston | Marriage & Family Therapist | 7950 Sw Magnolia Pl, Beaverton, OR 97008-6271 | 2019-11-13 |
| 1689223752 | Jaxon Millice Shaffer | Marriage & Family Therapist | 3800 Sw Cedar Hills Blvd Ste 152h, Beaverton, OR 97005-4758 | 2019-09-10 |
| 1720340516 | Denise Julie Hockley | Marriage & Family Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 546, Beaverton, OR 97005-4739 | 2012-06-08 |
| 1851674451 | Rebecca Rose Wara-goss | Marriage & Family Therapist | 1865 Nw 169th Pl Ste 201, Beaverton, OR 97006-7310 | 2011-09-21 |
| 1104064690 | Noah Carolan | Marriage & Family Therapist | 1500 Nw Bethany Blvd Suite 320, Beaverton, OR 97006 | 2009-01-22 |
| 1962659110 | Robin Marla Kramer | Marriage & Family Therapist | 10700 Sw Beaverton - Hillsdle. Hwy., Bldg 3, Suite 610 Park Plaza West, Beaverton, OR 97005 | 2008-08-19 |
| 1063530285 | Alice Maureen Williams | Marriage & Family Therapist | 12655 Sw Center Street, Suite 470, Beaverton, OR 97005 | 2007-03-26 |
| 1982754636 | Barbara Christine Kerkmann | Marriage & Family Therapist | 12720 Sw 3rd Street, Beaverton, OR 97005 | 2007-01-12 |
| 1750439881 | Sheila Dawn Spain | Marriage & Family Therapist | 12250 Sw 2nd St Ste A, Beaverton, OR 97005 | 2007-01-08 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.