Kathryn Anne Kirkwood, MA, LPC C7612

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C7612 Issued in OR

Practice address

8555 SW Apple Way Ste 320
Portland, OR 97225-1775

Phone

(877) 840-6956

Fax

(619) 383-6701

NPI assigned

Aug 29, 2007

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathryn Anne Endersby Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.kirkwood.p1@direct.sokya.nextgenshare.com

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.

• Sokyahealth Medical Group PC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1447842232
  Medicare reassignment Care Compare group NPD
• Lutheran Community Services Northwest

  dba Lcsnw

  • Community/Behavioral Health Agency
  • McMinnville, OR
  • NPI 1255542106
  NPD

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1235323544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 SW APPLE WAY STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251775",
            "telephone_number": "877-840-6956",
            "fax_number": "619-383-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 SW APPLE WAY STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251775",
            "telephone_number": "877-840-6956",
            "fax_number": "619-383-6701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Monmouth Ave N",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "OR",
            "postal_code": "973611329",
            "country_code": "US",
            "telephone_number": "503-838-8313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 NE Evans St Ste A",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971284628",
            "country_code": "US",
            "telephone_number": "503-472-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "627 NE Evans St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971283923",
            "country_code": "US",
            "telephone_number": "503-434-7523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4455 NE Highway 20",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973309695",
            "country_code": "US",
            "telephone_number": "541-758-5375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 Saginaw St S",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024121",
            "country_code": "US",
            "telephone_number": "503-589-4046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "credential": "MA, LPC C7612",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ENDERSBY",
            "middle_name": "ANNE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cindy Marie Kirkpatrick, LCSW
• Joel T Kirkpatrick
• Kate Nicole Kirkpatrick, PDSP
• Melissa B Kirkpatrick, ED.S.
• Ryan Kirkpatrick, PHARMD
• Neena Marie Kirkwood, D.P.T.
• Allison Denise Kirley, LMT
• Jocelyn Kirnak, D.C.
• Sergey Y Kirpichenko, DMD
• Claire Kirsch

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.