Active NPI
Rene Kerry Bohannon-Oxford, LMHC
- Counselor
- Kelso, WA
National Provider Identifier
1033468822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LMHC#60085935
- Practice address
- 2707 Pacific Ave North
Kelso, WA 98626 - Phone
- (360) 261-8467
- Fax
- (360) 414-8906
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LMHC#60085935 | WA | Primary |
Addresses
Primary practice location
2707 Pacific Ave North
Kelso, WA 98626
Mailing address
PO Box 363
Kelso, WA 98626
Phone (360) 261-8467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC#60085935 | WA | MD | Counselor |
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1033468822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 363",
"city": "KELSO",
"state": "WA",
"postal_code": "98626",
"telephone_number": "360-261-8467",
"fax_number": "360-414-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 PACIFIC AVE NORTH",
"city": "KELSO",
"state": "WA",
"postal_code": "98626",
"telephone_number": "360-261-8467",
"fax_number": "360-414-8906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHANNON-OXFORD",
"first_name": "RENE",
"middle_name": "KERRY",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LMHC#60085935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kelso, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.