Kathleen M Adams, PH.D., LMFT
Individual provider Active NPI Marriage & Family Therapist · Klamath Falls, OR
NPI 1124239272 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1124239272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- T1204 (OR)
- Practice address
- 905 Main St Ste 204
Klamath Falls, OR 97601-6066 - Phone
- (651) 253-1005
- Fax
- (541) 273-6279
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
905 Main St
Suite 609
Klamath Falls, OR 97601-5831
Phone (651) 253-1005
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240103001633 | OR | Practitioner - Marriage and Family Therapist | 2163872110 | Practice locations: Klamath Falls, OR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1204 | OR | MD | Marriage & Family Therapist |
| 100 | HI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholesome Family Medicine | Single Specialty | Current | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/16628/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | T1204 | OR | Yes |
| Marriage & Family Therapist | 106H00000X | 100 | HI |
Addresses
Primary practice location
905 Main St Ste 204
Klamath Falls, OR 97601-6066
Mailing address
905 Main St Ste 204
Klamath Falls, OR 97601-6066
Phone (651) 253-1005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500806696 | Medicaid | OR |
Other providers in Klamath Falls, OR
- Bernie Oliver Achleithner
- Christian Achleithner
- Elizabeth Ann Ada
- Margaret Adam
- Emily Adams-Schmeck
- Kya Adams
- Nicole Enola Adams
- William Adams
- Lillia Adamson
- Adenike Oluwatoyin Adelakun
All providers in Klamath Falls, OR · Marriage & Family Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.