Individual provider Active NPI

Lea Maria Kujala, LCSW, CADCI

  • Mental Health Counselor
  • Oregon City, OR
National Provider Identifier
1558799411
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L6540 Issued in OR
Practice address
706 Main St
Oregon City, OR 97045-1815
Phone
(035) 655-1029
Fax
(503) 655-4705
NPI assigned
Oct 30, 2013
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 110604 OR
Mental Health Counselor 101YM0800X L6540 OR Primary
Clinical Social Worker 1041C0700X L6540 OR

Addresses

Primary practice location

706 Main St
Oregon City, OR 97045-1815

Mailing address

13515 SW Ash Ave
Tigard, OR 97223-4942
Phone (503) 544-6391

Other names 1

  • Lea Avolio Former name

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
110604ORMDAddiction (Substance Use Disorder) Counselor
L6540ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1558799411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 SW ASH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234942",
            "telephone_number": "503-544-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 MAIN ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451815",
            "telephone_number": "035-655-1029",
            "fax_number": "503-655-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUJALA",
        "first_name": "LEA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "110604",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L6540",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "AVOLIO",
            "credential": "LCSW, CADCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.