St Mary's Home for Boys

NPI 1619057098ActiveOrganization· Psychologist, Counseling· Beaverton, OR

Psychologist, Counseling in Beaverton, Oregon, registered in NPPES in October 2006. The authorized official on file is Michael Cole, Assistant Director.

Overview

NPI	1619057098
Status	Active
Entity type	Organization
NPI issued	Oct 17, 2006
Last updated in NPPES	May 7, 2013

Specialties and licenses

Taxonomy	Code	License	State
Psychologist, Counseling Primary	103TC1900X	891	OR
Counselor, Mental Health	101YM0800X	—	OR
Psychologist	103T00000X	891	OR
Psychologist, Cognitive & Behavioral	103TB0200X	891	OR
Psychologist, Clinical	103TC0700X	891	OR
Psychologist, Clinical Child & Adolescent	103TC2200X	891	OR
Marriage & Family Therapist	106H00000X	T0433	OR
Psychiatry & Neurology, Child & Adolescent Psychiatry	2084P0804X	17887	OR
Clinic/Center, Adolescent and Children Mental Health	261QM0855X	—	OR
Psychiatric Hospital	283Q00000X	17887	OR
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	—	OR

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist, Counseling providers in Beaverton

First Responder Psychology
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Pfc Billing
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1538994322
Lisa Gabardi, PH.D.
Beaverton, OR · Individual
1942374988
Sarah Lynn Livengood, BS, QMHA
Beaverton, OR · Individual
1336748771

All Psychologist, Counseling providers in Oregon →