Active NPI
Kara Marie Joll, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1194525329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 200540138RN
- Practice address
- 905 SE 14TH Ave
Portland, OR 97214-2569 - Phone
- (503) 622-8964
- Fax
- (971) 339-4913
- NPI assigned
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200540138RN | OR | Primary |
Addresses
Primary practice location
905 SE 14TH Ave
Portland, OR 97214-2569
Mailing address
905 SE 14TH Ave
Portland, OR 97214-2569
Phone (503) 622-8964
Other practice location 1
9045 NW Egret St
Seal Rock, OR 97376-9645
Phone (541) 961-8753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200540138RN | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larsen Sanchez Psychology, LLC | Current | Accepting new patients |
Locations
812 SW Washington St
Ste 700
Portland, OR 97205
Phone (503) 622-8964
905 SE 14th Ave
Portland, OR 97214
Phone (503) 622-8964
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.
-
- Clinical Psychologist
- Portland, OR
- NPI 1588041388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1194525329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SE 14TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142569",
"telephone_number": "503-622-8964",
"fax_number": "971-339-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 SE 14TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142569",
"telephone_number": "503-622-8964",
"fax_number": "971-339-4913"
}
],
"practiceLocations": [
{
"address_1": "9045 NW Egret St",
"address_purpose": "LOCATION",
"city": "Seal Rock",
"state": "OR",
"postal_code": "973769645",
"country_code": "US",
"telephone_number": "541-961-8753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOLL",
"first_name": "KARA",
"middle_name": "MARIE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-17",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "200540138RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.