MK Counseling LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MK COUNSELING LLC

Doing business as

Mike Kaufman

Practice address

1234 Pearl St Ste 4
Eugene, OR 97401-3642

Phone

(541) 991-9624

NPI assigned

Jan 6, 2020

Organization subpart

No

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

Authorized official

Name

Michael Kaufman, LMFTNPI 1356615173

Title

Owner

Phone

(541) 991-9624

Specialties & licenses 3

Addresses

Other names 1

• Mike Kaufman Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Kaufman, MFT

  • Marriage & Family Therapist
  • Eugene, OR
  • NPI 1356615173
  NPD (past) Authorized official

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1053950154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 PEARL ST STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013642",
            "telephone_number": "541-991-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 PEARL ST STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013642",
            "telephone_number": "541-991-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-991-9624",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "Provider EHR with patient portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Patient record keeping for provider. Patients must however request access to psychotherapy notes. This is not a medical practice. Exchange of patient records with other providers is rare.",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient contact information, insurance information, patient records",
            "address_1": "1234 Pearl St Ste 4",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974013642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mike Kaufman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Eugene, OR
• Providers in Eugene, 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 Jan 6, 2020; 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.