Kathryn Wise

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9 Monroe Pkwy Ste 250
Lake Oswego, OR 97035-8866

Phone

(903) 452-0366

NPI assigned

Apr 11, 2025

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

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.

• Graced by Faith LLC

  • Professional Counselor
  • Lake Oswego, OR
  • NPI 1053282228
  NPD

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1497540280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 SW 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196503",
            "telephone_number": "903-452-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 250",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358866",
            "telephone_number": "903-452-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justyne Williams
• Krystal Williams
• Jeffrey Austin Williamson, D.D.S.
• Kaitlyn Patricia Wilson, SLPA
• Kenneth Byron Wiltbank, D.M.D.
• WLM
• David A. Wolf, O.D.
• Womens Imaging and Intervention, LLC
• Hayley Wood
• Kalkidan Worku, ARNP

• 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 Apr 11, 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.