Anne Edith Kellogg, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0600 Issued in OR

Practice address

135 E E St
Jacksonville, OR 97530-9246

Phone

(855) 343-6012

NPI assigned

Feb 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Anne Edith Kellogg Other name

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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1033534219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N OREGON ST",
            "address_2": "#1004",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309797",
            "telephone_number": "855-343-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E E ST",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309246",
            "telephone_number": "855-343-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "ANNE",
        "middle_name": "EDITH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "KELLOGG",
            "middle_name": "EDITH",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Kenneth Johnson, R.PH.
• Yael Jones
• Owen David Jurling, LAC
• Daniel Kaylin, D.D.S.
• Tommie Janae Kell, EPDH
• Danielle Knight
• Sarah Larosa, LMT
• Gayle Y. Lewis, WHCNP
• Margaret Scott Allison Ley, CNM
• Teretha Lee Martinez, RN, LMT

• Marriage & Family Therapist in Jacksonville, OR
• Providers in Jacksonville, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.