Katherine Adams

Individual provider Active NPI Mental Health Counselor · Boardman, OR

NPI 1164094298 · NPPES record last updated Jul 16, 2021

Key facts

NPI: 1164094298
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 104 SW Kinkade Rd
Boardman, OR 97818
Phone: (541) 481-2911
Fax: (541) 481-2006
NPI assigned: Jul 16, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Community Counseling Solutions Addiction (Substance Use Disorder) Counselor · Heppner, OR · NPI 1578501771

NPD (past) MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Community Counseling Solutions	Mental Health	Past since Jul 25, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

104 SW Kinkade Rd
Boardman, OR 97818

Mailing address

PO Box 261
Boardman, OR 97818-0261
Phone (541) 481-2911

Other providers in Boardman, OR

All providers in Boardman, OR · Mental Health Counselor in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.