Kathryn E Kapusta, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16054 Issued in OR

Practice address

1431 Liberty St SE
Salem, OR 97302-4343

Phone

(503) 383-1613

Fax

(971) 446-6065

NPI assigned

Mar 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Katie E Norman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Evergreen Behavioral Health, LLC

  • Mental Health Counselor
  • Salem, OR
  • NPI 1639879141
  NPD
• Phoenix Wellness Center

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1194232512
  NPD (past)
• Phoenix Wellness Center LLC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1720572043
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1154071371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E VOGEL AVE APT 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202046",
            "telephone_number": "602-513-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024343",
            "telephone_number": "503-383-1613",
            "fax_number": "971-446-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPUSTA",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LMSW-18190",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "A16054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "NORMAN",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Grace Whei Kao, D.O.
• Patricia C Kao, MD
• Ross George Kaplan, BDS,MSD
• Carl Walton Kapocias, QMHA
• Dwayne Kapule
• Karen a. Chambers MSW, LCSW
• Karen E Grisham RN MN PC
• Karl Hyde MD PC
• Aaron Isamu Karlen, M.D., J.D.
• Benjamin Karlson, QMHA

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.