Martha Woolsey King

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

615 N Meadow LN
Sisters, OR 97759-3148

Phone

(541) 640-9310

Fax

(360) 326-1978

NPI assigned

Feb 26, 2024

Last updated

Mar 6, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Northwest Integrative Nutrition and Therapy

  dba Forage Wellness Collective

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sisters, OR
  • NPI 1134855794
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1336905694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 SE BAYSHORE CIR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973333206",
            "telephone_number": "918-606-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MEADOW LN",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977593148",
            "telephone_number": "541-640-9310",
            "fax_number": "360-326-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARTHA",
        "middle_name": "WOOLSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Jonestrask
• K. Zachary Sunitsch DMD LLC
• Patricia Joan Kauffman, M.D.
• Jeremy Rowe Kenison, D.O.
• Avery Ketchum
• Ida Kolodziejczyk
• Timothy Korm, PMHNP-BC
• Kristi Lyn Rhodes
• Kristine L Falco PSYD PC
• Cynthia D Kruse

• Mental Health Counselor in Sisters, OR
• Providers in Sisters, 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 Mar 6, 2024; 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.