Kathleen Joyce Ayres, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C1176 Issued in OR

Practice address

14523 Westlake Dr
Suite 15
Lake Oswego, OR 97035-7700

Phone

(503) 925-8112

Fax

(503) 620-5369

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356441935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14523 WESTLAKE DR",
            "address_2": "SUITE 15",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357700",
            "telephone_number": "503-925-8112",
            "fax_number": "503-620-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14523 WESTLAKE DR",
            "address_2": "SUITE 15",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357700",
            "telephone_number": "503-925-8112",
            "fax_number": "503-620-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "KATHLEEN",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Michael Austin, M.D.
• Kaila Autrey, LMT
• Avamere Lake Oswego Operations Investors, LLC
• Avamere Stafford Operations, LLC
• Tristan Avery
• Ronda Lynn Babcock, RN
• Francis Bacik
• Adam Richard Bailey, PA-C
• Christina Ann Bailey, PA-C
• William John Baily

• Mental Health Counselor in Lake Oswego, OR
• Providers in Lake Oswego, 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 Jul 8, 2007; 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.