Individual provider Active NPI

Raymond Kaffer

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1134741887
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61482032 Issued in WA
Practice address
13505 NE 10TH Ave
Vancouver, WA 98685-2711
Phone
(360) 433-9664
NPI assigned
May 15, 2020
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61482032 WA Primary

Addresses

Primary practice location

13505 NE 10TH Ave
Vancouver, WA 98685-2711

Mailing address

13505 NE 10TH Ave
Vancouver, WA 98685-2711
Phone (360) 433-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61482032WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Therapy, Inc Mental Health Past Accepting new patients
Volunteers of America PastSince May 1, 2020 Accepting new patients

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, 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": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1134741887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13505 NE 10TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852711",
            "telephone_number": "360-433-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 NE 10TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852711",
            "telephone_number": "360-433-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFFER",
        "first_name": "RAYMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-15",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61482032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.