Individual provider Active NPI

Alon Klamkin, M.S.

  • Mental Health Counselor
  • Corvallis, OR
National Provider Identifier
1053476127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C0048 Issued in OR
Practice address
508 SW Jefferson Ave
Corvallis, OR 97333-4603
Phone
(541) 757-0194
Fax
(541) 757-0194
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0048 OR Primary

Addresses

Primary practice location

508 SW Jefferson Ave
Corvallis, OR 97333-4603

Mailing address

508 SW Jefferson Ave
Corvallis, OR 97333-4603
Phone (541) 757-0194

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C0048ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053476127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SW JEFFERSON AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334603",
            "telephone_number": "541-757-0194",
            "fax_number": "541-757-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SW JEFFERSON AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334603",
            "telephone_number": "541-757-0194",
            "fax_number": "541-757-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAMKIN",
        "first_name": "ALON",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C0048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.