Individual provider Active NPI

Maria A. Garland, QMHP

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1568768596
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LLPC L1845750 Issued in MI
Practice address
2521 SE 74TH Ave
Portland, OR 97206-1150
Phone
(503) 597-3938
Fax
(503) 597-3939
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X L2092957 MI
Mental Health Counselor 101YM0800X TLLP L1832600 MI
Mental Health Counselor 101YM0800X LLPC L1845750 MI Primary

Addresses

Primary practice location

2521 SE 74TH Ave
Portland, OR 97206-1150

Mailing address

2521 SE 74TH Ave
Portland, OR 97206-1150
Phone (503) 597-3938

Other names 1

  • Ms. Maria Ann Kiss 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
LLPC L1845750MIMDMental Health Counselor
TLLP L1832600MIMDMental Health Counselor
L2092957MIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1568768596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 SE 74TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061150",
            "telephone_number": "503-597-3938",
            "fax_number": "503-597-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 SE 74TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061150",
            "telephone_number": "503-597-3938",
            "fax_number": "503-597-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "MARIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "L2092957",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "TLLP L1832600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "LLPC L1845750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "KISS",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LLPC, LLMFT, TLLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.