Active NPI
Kathleen M Adams, PH.D., LMFT
- Marriage & Family Therapist
- Klamath Falls, OR
National Provider Identifier
1124239272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1204
- 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
- Last updated
- Aug 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1204 | OR | Primary |
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240103001633 | OR | Practitioner - Marriage and Family Therapist | 2163872110 | Practice locations: Klamath Falls, OR |
Care Compare profile
Medicare Care Compare- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1124239272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 MAIN ST STE 204",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976016066",
"telephone_number": "651-253-1005",
"fax_number": "541-273-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 MAIN ST STE 204",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976016066",
"telephone_number": "651-253-1005",
"fax_number": "541-273-6279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1204",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.