Linnea Gray Van Kirk, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

102557 Issued in CA

Practice address

12020 SW Rose Vista Dr
Tigard, OR 97223-2834

Phone

(760) 288-1544

NPI assigned

Aug 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1336331933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 SW ROSE VISTA DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232834",
            "telephone_number": "760-288-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SW ROSE VISTA DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232834",
            "telephone_number": "760-288-1544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78115 Calle Estado Ste 201",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922533919",
            "country_code": "US",
            "telephone_number": "760-288-1544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN KIRK",
        "first_name": "LINNEA",
        "middle_name": "GRAY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T1873",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "102557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Valls
• Jennifer K. Van Atta, PA
• Erin Jamie Van Dyke, PA-C
• Carol Anne Van Horn, R.PH. MBA
• Heather Van Houten, PA-C
• William Van Sant
• Carolina Alexandra Van Tulder, PA-C
• Lecia Marion Van Valkenburg
• Chantal Alyse Van Wely, MD
• Alexandra Domonique Van

• Mental Health Counselor in Tigard, OR
• Providers in Tigard, 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 Jun 5, 2023; 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.