Individual provider Active NPI

Kathy Kay, COUNSELOR

  • Counselor
  • Keizer, OR
National Provider Identifier
1174928147
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3785 River Rd N
Ste 141
Keizer, OR 97303-5098
Phone
(503) 510-9154
Fax
(503) 510-9154
NPI assigned
Nov 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OR Primary

Addresses

Primary practice location

3785 River Rd N
Ste 141
Keizer, OR 97303-5098

Mailing address

3785 River Rd N
Ste 141
Keizer, OR 97303-5098
Phone (503) 510-9154

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1174928147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 RIVER RD N",
            "address_2": "STE 141",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035098",
            "telephone_number": "503-510-9154",
            "fax_number": "503-510-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 RIVER RD N",
            "address_2": "STE 141",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035098",
            "telephone_number": "503-510-9154",
            "fax_number": "503-510-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "KATHY",
        "name_prefix": "Miss",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.