Active NPI
Kasey Channara Luy, PHD
- Psychologist
- Portland, OR
National Provider Identifier
1376932350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2567
- Practice address
- 10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514 - Phone
- (503) 293-8481
- NPI assigned
- Jan 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2567 | OR | Primary |
Addresses
Primary practice location
10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514
Mailing address
2315 Tannler Dr
West Linn, OR 97068-4164
Phone (503) 866-9809
Other names 1
- K.C. Nara Luy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dr.NaraLuy@protonmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfulness & Healthy Living | Current | Accepting new patients |
Locations
10260 SW Greenburg Rd
Ste 400
Tigard, OR 97223
Phone (208) 996-3519
Organizations & group practices 1
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.
-
- Point of Service
- Portland, OR
- NPI 1386223568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1376932350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 TANNLER DR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684164",
"telephone_number": "503-866-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10260 SW GREENBURG RD STE 400",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235514",
"telephone_number": "503-293-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUY",
"first_name": "KASEY",
"middle_name": "CHANNARA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-14",
"last_updated": "2021-04-06",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2567",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dr.NaraLuy@protonmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10260 SW Greenburg Rd Ste 400",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972235514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "K.C.",
"last_name": "LUY",
"middle_name": "NARA",
"code": "5",
"type": "Other Name"
}
]
}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 Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.