Individual provider Active NPI

Kathleen E Thompson, LPC, CRC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1336686849
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C4361 Issued in OR
Practice address
423 NE 60TH Ave
Portland, OR 97213-3725
Phone
(503) 893-9927
NPI assigned
Jan 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C4361 OR Primary

Addresses

Primary practice location

423 NE 60TH Ave
Portland, OR 97213-3725

Mailing address

423 NE 60TH Ave
Portland, OR 97213-3725
Phone (503) 893-9927

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

LicenseStateTypeSpecialty
C4361ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1336686849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 NE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133725",
            "telephone_number": "503-893-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 NE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133725",
            "telephone_number": "503-893-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "LPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-22",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4361",
            "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 Apr 21, 2025; 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.