Kayley Clothier

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9 Monroe Pkwy Ste 270
Lake Oswego, OR 97035-8866

Phone

(503) 675-2830

Fax

(503) 675-2852

NPI assigned

Jul 18, 2022

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

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brittany Russ Clinical Social Work and Therapy Services LLCGroup PAC ID 7618474032, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Brittany Russ' Clinical Social Work and Therapy Services LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1104573070
  Medicare reassignment Care Compare group
• Linda C Estergard, PHD, LCSW, PC

  • Clinical Psychologist
  • Lake Oswego, OR
  • NPI 1962625335
  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1457086068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 270",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358866",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 270",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358866",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOTHIER",
        "first_name": "KAYLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "locc@lakeoswegocounseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9 Monroe Pkwy Ste 270",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970358866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clearblue Labs
• Clearsky Counseling LLC
• Katherine Sullivan Cleveland
• Kevin Clifton
• Lorena Leslie Cline, PA-C
• Cocoro Counseling LLC
• Richard Alan Cohen, M.D.
• Stewart Delos Cole, DO
• Brian Coleman, PT
• Susan Merie Colemer, A-GNP-C

• 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 18, 2022; 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.

Verify at the official NPI Registry.