Kathryn McDonald Shumate, LPC, LSATP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701000875 Issued in VA

Practice address

1365 NE Lakewood Dr Apt 322
Newport, OR 97365-1938

Phone

(503) 758-2093

NPI assigned

Oct 25, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1013789882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 NE LAKEWOOD DR APT 322",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973651938",
            "telephone_number": "503-758-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 NE LAKEWOOD DR APT 322",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973651938",
            "telephone_number": "503-758-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "KATHRYN",
        "middle_name": "MCDONALD",
        "credential": "LPC,  LSATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "071000875",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701000875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Clark Shepherd
• Richard Raymond Sherlock
• Randolph Edward Shieff, QMHA
• Deborah Lee Shomaker, RN
• Jonathan Kale Gavin Shumate, MD
• Angel Sidell, RN
• Susan G Sims, FNP
• Stephanie Alene Singler, PWS
• Rebecca Sinnhuber
• Gina Marie Siqueiros, MA, LPC

• Mental Health Counselor in Newport, OR
• Providers in Newport, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.