Individual provider Active NPI

Kamala Kim Tewee, CRM, CADCR

  • Addiction (Substance Use Disorder) Counselor
  • Pendleton, OR
National Provider Identifier
1457163776
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T-25-4894 Issued in OR
Practice address
419 SW 5TH St
Pendleton, OR 97801-2020
Phone
(541) 429-4940
Fax
(541) 429-4941
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T-25-4894 OR Primary
Peer Specialist 175T00000X 23-CRM-2512 OR

Addresses

Primary practice location

419 SW 5TH St
Pendleton, OR 97801-2020

Mailing address

1407 NW Despain Ave
Pendleton, OR 97801-1142
Phone (541) 429-4940

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

State licenses

LicenseStateTypeSpecialty
T-25-4894ORMDAddiction (Substance Use Disorder) Counselor
23-CRM-2512ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Life's Intention LLC CurrentSince Jan 26, 2025 Accepting new patients

Locations

419 SW 5th St
Pendleton, OR 97801
Phone (541) 429-4940

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1457163776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 NW DESPAIN AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011142",
            "telephone_number": "541-429-4940",
            "fax_number": "541-429-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SW 5TH ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012020",
            "telephone_number": "541-429-4940",
            "fax_number": "541-429-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWEE",
        "first_name": "KAMALA",
        "middle_name": "KIM",
        "credential": "CRM, CADCR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-25-4894",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "23-CRM-2512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.