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Susan M Doak , LPC

Counselor β€’ Newberg, OR

Active NPI 1174534556 Individual Practitioner Female Practitioner
Practice location in NPPES

901 N Brutscher St., Ste 204
Newberg, OR 971326096

Call 5039948424 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

901 N Brutscher St.
Ste 204

Newberg, OR 971326096

Telephone 5039948424
Fax 5035549967
Organization at the Same NPPES Address or Phone
Newberg Counseling & Wellness, Llc Facility NPI 1164923041

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Tigard, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Newberg and Oregon

6 active clinicians are listed under Counselor with a practice address in Newberg, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OR LPC2835

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OR C2835

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR LPC2835
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State Of Oregon Board Of Licensed Professional Counselors And Therapists
C2835 (OR)

Secondary Practice Locations

7100 Sw Hampton St, Suite 128

Tigard, OR 972238315

Phone: 5033422510

7100 Sw Hampton St, Suite 128

Tigard, OR 972238315

Phone: 5033422510

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ“
Updated Practice Location November 16, 2018

Registered at 901 N BRUTSCHER ST., STE 204, NEWBERG, OR 971326096 (Tel: 5039948424)

πŸ“
Updated Business Mailing Address November 16, 2018

Registered at 901 N BRUTSCHER ST., STE 204, NEWBERG, OR 971326096 (Tel: 5039948424)

πŸ‘€
Provider Name / Credentials Updated November 16, 2018

Recorded as SUSAN DOAK, LPC

πŸ“
Updated Practice Location March 17, 2018

Registered at 710 E FOOTHILLS DR STE 104C, NEWBERG, OR 971326125 (Tel: 5039948424)

πŸ“
Updated Business Mailing Address March 17, 2018

Registered at 710 E FOOTHILLS DR STE 104C, NEWBERG, OR 971326125 (Tel: 5039948424)

πŸ“
Updated Practice Location February 23, 2018

Registered at 710 E FOOTHILLS DR STE 104C, NEWBERG, OR 971326125 (Tel: 5039948424)

πŸ“
Updated Business Mailing Address February 23, 2018

Registered at 710 E FOOTHILLS DR STE 104C, NEWBERG, OR 971326125 (Tel: 5039948424)

βœ…
NPI Profile Active January 27, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 27, 2017

Registered at 7100 SW HAMPTON ST, SUITE 128, TIGARD, OR 972238315 (Tel: 5033422510)

πŸ“
Updated Business Mailing Address January 27, 2017

Registered at 7100 SW HAMPTON ST, SUITE 128, TIGARD, OR 972238315 (Tel: 5033422510)

πŸ‘€
Provider Name / Credentials Updated January 27, 2017

Recorded as SUSAN DOAK, M.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2017

Counselor (license number reported to NPPES: OR C2835)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 859 WILLARD ST, STE 430, QUINCY, MA 021697482 (Tel: 6178471950)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 500 VICTORY RD, SOUTH SHORE MENTAL HEALTH, QUINCY, MA 021713139 (Tel: 6178471950)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as SUSAN DOAK, M.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: None UNLICENSED)

🟒
Initial NPI Registration & Enumeration August 10, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174534556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2006
Last Update: November 16, 2018
Sole Proprietor: Yes

Mailing Address

901 N Brutscher St., Ste 204

Newberg, OR 971326096

Phone: 5039948424

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.