Active NPI
KJ Washam Counseling LLC
- Mental Health Counselor
- Lake Oswego, OR
National Provider Identifier
1356226864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KJ WASHAM COUNSELING LLC
- Practice address
- 4800 Meadows Rd
Suite 300
Lake Oswego, OR 97035 - Phone
- (503) 421-5358
- NPI assigned
- Aug 6, 2025
- Last updated
- Aug 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelly Jo Washam, MA, LMFT, CADC III
- Title
- Therapist/Owner
- Phone
- (503) 421-5358
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4800 Meadows Rd
Suite 300
Lake Oswego, OR 97035
Mailing address
4800 Meadows Rd Ste 300
Lake Oswego, OR 97035-5277
Phone (503) 421-5358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Tualatin, OR
- NPI 1326368333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1356226864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 MEADOWS RD STE 300",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355277",
"telephone_number": "503-421-5358",
"fax_number": "503-421-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 MEADOWS RD",
"address_2": "SUITE 300",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "97035",
"telephone_number": "503-421-5358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KJ WASHAM COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-06",
"certification_date": "2025-07-21",
"status": "A",
"authorized_official_last_name": "WASHAM",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "503-421-5358",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, LMFT, CADC III"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.