NPIMap

Organization Active NPI

Kairos

  • Mental Health Counselor
  • Grants Pass, OR
National Provider Identifier
1144651415
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KAIROS
Practice address
210 Tacoma St
Grants Pass, OR 97526-9370
Phone
(541) 476-3302
Fax
(541) 956-5463
NPI assigned
Dec 11, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Joel ShippyNPI 1891118923
Title
Skills Coach
Phone
(541) 479-7707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

210 Tacoma St
Grants Pass, OR 97526-9370

Mailing address

210 Tacoma St
Grants Pass, OR 97526-9370

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1144651415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TACOMA ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975269370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TACOMA ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975269370",
            "telephone_number": "541-476-3302",
            "fax_number": "541-956-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "SHIPPY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "SKILLS COACH",
        "authorized_official_telephone_number": "541-479-7707"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.