Active NPI
Caroline Kinsley, MA, LPC, BC-DMT
- Professional Counselor
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-LCPC-LIC-64926
- Practice address
- 3700 S Russell St Ste B110
Missoula, MT 59801-8574 - Phone
- (406) 201-9736
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | BBH-LCPC-LIC-64926 | MT | Primary |
| Professional Counselor | 101YP2500X | C7603 | OR |
Addresses
Primary practice location
3700 S Russell St Ste B110
Missoula, MT 59801-8574
Mailing address
PO Box 1904
Missoula, MT 59806-1904
Phone (406) 201-9736
Other practice location 1
2355 State St Ste 101
Salem, OR 97301-4541
Phone (503) 893-2390
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11740 SW 68TH Pkwy
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-LIC-64926 | MT | MD | Professional Counselor |
| C7603 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
| Kristen Genzano Therapy LLC | Past | Accepting new patients |
Locations
5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100
11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Mental Health, OR
-
- Counselor
- Portland, OR
- NPI 1831540095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1134728181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1904",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598061904",
"telephone_number": "406-201-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 S RUSSELL ST STE B110",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018574",
"telephone_number": "406-201-9736"
}
],
"practiceLocations": [
{
"address_1": "2355 State St Ste 101",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973014541",
"country_code": "US",
"telephone_number": "503-893-2390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINSLEY",
"first_name": "CAROLINE",
"credential": "MA, LPC, BC-DMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "BBH-LCPC-LIC-64926",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C7603",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.