Individual provider Active NPI

Kathryn Lynn Andrew, LCSW

  • Mental Health Counselor
  • La Grande, OR
National Provider Identifier
1487129748
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L55162 Issued in OR
Practice address
105 Fir St Ste 208
La Grande, OR 97850-2661
Phone
(541) 809-8045
Fax
(360) 844-5184
NPI assigned
Oct 12, 2018
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L55162 OR Primary
Clinical Social Worker 1041C0700X 3981300 ID

Addresses

Primary practice location

105 Fir St Ste 208
La Grande, OR 97850-2661

Mailing address

105 Fir St Ste 208
La Grande, OR 97850-2661
Phone (541) 809-8045

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260209000970 OR Practitioner - Clinical Social Worker 8628557808 Practice locations: La Grande, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Fir St
Suite 208
La Grande, OR 97850-2661
Phone (541) 809-8045

619 SW Sierra St
Camas, WA 98607-2536

95 Oak St
La Grande, OR 97850-1153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L55162ORMDMental Health Counselor
3981300IDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1487129748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FIR ST STE 208",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502661",
            "telephone_number": "541-809-8045",
            "fax_number": "360-844-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIR ST STE 208",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502661",
            "telephone_number": "541-809-8045",
            "fax_number": "360-844-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L55162",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "3981300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

Verify at the official NPI Registry.