Active NPI
Kathryn Hulse
- Professional Counselor
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C8421
- Practice address
- 12636 SE Stark St BLDG J
Portland, OR 97233-1058 - Phone
- (503) 253-4600
- NPI assigned
- Aug 5, 2011
- Last updated
- Jul 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C8421 | OR | Primary |
| Marriage & Family Therapist | 106H00000X | 126125 | CA | |
| Marriage & Family Therapist | 106H00000X | 100133 | CA |
Addresses
Primary practice location
12636 SE Stark St BLDG J
Portland, OR 97233-1058
Mailing address
427 Pajaro Street
Upstairs Suites 1,2,3
Salinas, CA 93901
Phone (800) 214-5439
Other practice location 1
220 12th St
Marina, CA 93933-6001
Phone (831) 883-3030
Other practice location 2
252 San Jose St
Salinas, CA 93901-3901
Phone (800) 214-5439
Other practice location 3
735 Chestnut St Ste C
Santa Cruz, CA 95060-3759
Phone (831) 996-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12636 SE Stark St Plaza 125 BLDG J
Portland, OR 97233-1058
Phone (503) 253-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126125 | CA | MD | Marriage & Family Therapist |
| C8421 | OR | MD | Marriage & Family Therapist |
| 100133 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Western Psychological and Counseling Services LLC | Mental Health | Current | Accepting new patients |
Locations
12636 SE Stark St
Bldg J
Portland, OR 97233
Phone (503) 253-4600
Organizations & group practices 2
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.
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Mental Health, OR
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1356620538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 PAJARO STREET",
"address_2": "UPSTAIRS SUITES 1,2,3",
"city": "SALINAS",
"state": "CA",
"postal_code": "93901",
"telephone_number": "800-214-5439",
"fax_number": "831-796-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12636 SE STARK ST BLDG J",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331058",
"telephone_number": "503-253-4600"
}
],
"practiceLocations": [
{
"address_1": "220 12th St",
"address_purpose": "LOCATION",
"city": "Marina",
"state": "CA",
"postal_code": "939336001",
"country_code": "US",
"telephone_number": "831-883-3030",
"fax_number": "830-883-3032",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 San Jose St",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939013901",
"country_code": "US",
"telephone_number": "800-214-5439",
"fax_number": "831-796-0334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "735 Chestnut St Ste C",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950603759",
"country_code": "US",
"telephone_number": "831-996-1222",
"fax_number": "831-417-0443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULSE",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C8421",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "126125",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100133",
"primary": false
}
],
"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 Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.