IndividualActive
Unique Page, LPC
NPI 1104230234 · Mental Health Counselor · Canby, OR
Provider details
- NPI number
- 1104230234
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- CG60476549 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
113 N Elm St
Canby, OR 97013-3519
Phone: (503) 372-5147
Fax: (503) 650-4302
Street-level locationGet directions
Mailing address
113 N Elm St
Canby, OR 97013-3519
Additional practice locations (3)
- 14839 Se 82nd DrClackamas, OR 97015-7624Phone: (503) 372-5147Fax: (503) 650-4302
- 5289 Ne Elam Young Pkwy Ste 140Hillsboro, OR 97124-7551Phone: (503) 372-5147Fax: (503) 650-4302
- 2274 Sw 2nd St Ste DMcminnville, OR 97128-5597Phone: (503) 273-5147Fax: (503) 650-4302
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2022-09-26
- Certified
- 2022-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.