Katherine Marie Jolly, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3231 SE 50TH Ave
Portland, OR 97206-2248

Phone

(503) 238-5203

Fax

(503) 238-5202

NPI assigned

Jun 9, 2020

Last updated

Mar 3, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1457976086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062248",
            "telephone_number": "503-238-5203",
            "fax_number": "503-238-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Marie Joll, PMHNP
• Barbara Jolley, D.C., N.D.
• Devin Louise Jolley, CNM
• Tessa Marie Jolley
• Michael David Jolliffe, LPC INTERN
• Trista L. Jolly, MAOM, L.AC.
• Celess Jollymore
• Heidi Jolson, MA LPC NCC CADC I
• Michelle Brooke Jolson, PSY.D.
• Jon Fox, Ms, LPC

• Mental Health Counselor in Portland, OR
• Providers in Portland, 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 Mar 3, 2023; 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.