Daniel Robert Klinkert, M.S.W.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

917 SW Oak St Ste 303
Portland, OR 97205-2806

Phone

(971) 200-0482

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1235268160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SW 21ST AVE APT 312",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051510",
            "telephone_number": "313-402-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SW OAK ST STE 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052806",
            "telephone_number": "971-200-0482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3716 NE Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972121111",
            "country_code": "US",
            "telephone_number": "503-288-8066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26184 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln Park",
            "state": "MI",
            "postal_code": "48146",
            "country_code": "US",
            "telephone_number": "313-389-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINKERT",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6802084808",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.headandhearttherapypdx.com/contact-6",
            "affiliation": "N",
            "address_1": "917 SW Oak St Ste 303",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972052806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.headandhearttherapypdx.com/contact-6",
            "affiliation": "N",
            "address_1": "917 SW Oak St Ste 303",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972052806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Ann Klingensmith, D.M.D.
• Ebony Klinger
• Andrea Michele Klingle, LMT
• Bridget R Klingman
• Kaitlin Jane Klinkebiel
• Gretchen Geuder Klipp, LCSW
• David M Klipper, DO
• Zachary Klipstein
• Priscilla Klockner, M.A.
• Jessica Mintie Kloenne, D.M.D.

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.