Kristy Car Makowichuk, LPC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4797 Issued in OR

Practice address

630 B Avenue
Suite 9
Lake Oswego, OR 97034

Phone

(503) 607-7236

NPI assigned

Mar 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristy Car Johnston Former name

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527

  OR, WA

  Medicare reassignment NPD
• Apricity Counseling & Consultation, LLC

  • Mental Health Counselor
  • Lake Oswego, OR
  • NPI 1396245858

  Mental Health

  NPD Authorized official
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1063990695
  NPD
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1366946451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 B AVE STE 9",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342958",
            "telephone_number": "503-607-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 B AVENUE",
            "address_2": "SUITE 9",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97034",
            "telephone_number": "503-607-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOWICHUK",
        "first_name": "KRISTY",
        "middle_name": "CAR",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "JOHNSTON",
            "middle_name": "CAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Daru Maer, MA,LPC
• Jennifer Lee Maestas, PA-C
• Christina Michelle Mahoney, L.AC.
• Megan Mahony, LAC
• Makerspace Speech Language and Cognition
• Aleksey Maksimov
• Shah N Malik, R.PH.
• Melinda Rose Mallek, LMT
• Maureen Maloney-Schou, B.C.O.
• Maloney'S Custom Ocular Prosthetics, Inc.

• All providers in Lake Oswego, OR
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.