Active NPI
Joseph C Kleinhenz, LCSW, CADC 1
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1235533308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2318 NE MLK Jr Blvd
Portland, OR 97212-3715 - Phone
- (503) 802-0302
- Fax
- (503) 335-8636
- NPI assigned
- Oct 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 04-07-26 | OR | |
| Clinical Social Worker | 1041C0700X | L8062 | OR | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2318 NE MLK Jr Blvd
Portland, OR 97212-3715
Mailing address
4622 NE 21St Ave
Portland, OR 97211-5829
Phone (503) 287-4796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500662131 | Medicaid | OR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8062 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Inc. | Past | Accepting new patients |
Interoperability endpoints
- joseph.kleinhenz.p1@direct.voaor.nextgenshare.com
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.
-
- Contractor
- Portland, OR
- NPI 1376611418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1235533308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 NE 21ST AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972115829",
"telephone_number": "503-287-4796",
"fax_number": "503-335-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 NE MLK JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123715",
"telephone_number": "503-802-0302",
"fax_number": "503-335-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINHENZ",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "LCSW, CADC 1",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-17",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "04-07-26",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8062",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500662131",
"state": "OR"
}
],
"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 Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.