Individual provider Active NPI

Kacee Marie Markarian, LMFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1184943029
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1062 Issued in OR
Practice address
8311 SE 13TH Ave Ste B
Portland, OR 97202
Phone
(503) 902-4859
NPI assigned
May 17, 2010
Last updated
May 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 86524 CA
Marriage & Family Therapist 106H00000X T1062 OR Primary

Addresses

Primary practice location

8311 SE 13TH Ave Ste B
Portland, OR 97202

Mailing address

8311 SE 13TH Ave Ste B
Portland, OR 97202-7170
Phone (503) 902-4859

Other practice location 1

1181 North Ave
Beacon, NY 12508-1700
Phone (503) 902-4859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T1062ORMDMarriage & Family Therapist
86524CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Creative, LLC Marriage & Family Therapist CurrentSince Jan 3, 2021 Accepting new patients
Rainbow Creative, LLC Current Accepting new patients

Locations

8311 SE 13th Ave
Ste B
Portland, OR 97202
Phone (503) 389-0398

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1184943029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 SE 13TH AVE STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027170",
            "telephone_number": "503-902-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 SE 13TH AVE STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-902-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1181 North Ave",
            "address_purpose": "LOCATION",
            "city": "Beacon",
            "state": "NY",
            "postal_code": "125081700",
            "country_code": "US",
            "telephone_number": "503-902-4859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKARIAN",
        "first_name": "KACEE",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86524",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.