Individual provider Active NPI

Karen J Kramer, CADC 2

  • Addiction (Substance Use Disorder) Counselor
  • Prineville, OR
National Provider Identifier
1396937652
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
96-04-39 Issued in OR
Practice address
205 NE 4TH St
Prineville, OR 97754-1925
Phone
(541) 416-1095
Fax
(541) 416-0991
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 96-04-39 OR Primary

Addresses

Primary practice location

205 NE 4TH St
Prineville, OR 97754-1925

Mailing address

205 NE 4TH St
Prineville, OR 97754-1925
Phone (541) 416-1095

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1396937652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NE 4TH ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541925",
            "telephone_number": "541-416-1095",
            "fax_number": "541-416-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NE 4TH ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541925",
            "telephone_number": "541-416-1095",
            "fax_number": "541-416-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CADC 2",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "96-04-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.