Active NPI
Kirsten R Hartwell, B.S.
- Addiction (Substance Use Disorder) Counselor
- Klamath Falls, OR
National Provider Identifier
1124396510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 090654
- Practice address
- 3647 Highway 39
Klamath Falls, OR 97603-2612 - Phone
- (541) 884-5244
- Fax
- (541) 884-1105
- NPI assigned
- Dec 13, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 090654 | OR | Primary |
Addresses
Primary practice location
3647 Highway 39
Klamath Falls, OR 97603-2612
Mailing address
3647 Highway 39
Klamath Falls, OR 97603-2612
Phone (541) 884-5244
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090654 | OR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1124396510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3647 HIGHWAY 39",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976032612",
"telephone_number": "541-884-5244",
"fax_number": "541-884-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3647 HIGHWAY 39",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976032612",
"telephone_number": "541-884-5244",
"fax_number": "541-884-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTWELL",
"first_name": "KIRSTEN",
"middle_name": "R",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "090654",
"primary": true
}
],
"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 Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.