Kayla Kubischta

Primary specialty

CounselorTaxonomy code 101Y00000X

License

60824144 Issued in WA

Practice address

8285 SW Nimbus Ave Ste 148
Beaverton, OR 97008-6465

Phone

(360) 567-2211

Fax

(360) 423-5086

NPI assigned

Jul 19, 2017

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Options Counseling Services of Oregon

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  NPD

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1477076719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 148",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086465",
            "telephone_number": "503-352-3260",
            "fax_number": "503-352-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 148",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086465",
            "telephone_number": "360-567-2211",
            "fax_number": "360-423-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISCHTA",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60824144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098021",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wp.options.org",
            "affiliation": "N",
            "address_1": "8285 SW Nimbus Ave Ste 148",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970086465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Kron, DENTAL ASSISTAN
• Amanda Kruszka, LCSW
• Trevor Gerald Kubat
• Jamie Matthew Kubess, CSWA
• Ashley Ann Kubin, CCC-SLP
• Sarah Lynn Kuhrts, MS, CCC, SLP
• Neha Ramesh Kulkarni
• Kumar Dental Group
• Samir Kumar
• Sanjay Kumar Sr.

• Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.