Individual provider Active NPI

Kathy Ann Hardie-Williams, M.ED MS NCC LPC LMFT

  • Professional Counselor
  • Tigard, OR
National Provider Identifier
1578906210
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
R2040 Issued in OR
Practice address
9900 SW Greenburg Rd Ste 205
Tigard, OR 97223-5502
Phone
(503) 206-5578
Fax
(503) 935-5884
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0988 OR
Professional Counselor 101YP2500X R2040 OR Primary

Addresses

Primary practice location

9900 SW Greenburg Rd Ste 205
Tigard, OR 97223-5502

Mailing address

9600 SW Oak St Ste 325
Tigard, OR 97223-6588
Phone (503) 206-5578

Other names 1

  • Ms. Kathy Ann Hardie-Williams Med Ms NCC LPC LMFT Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathy@westsidefamilytherapy.org Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R2040ORMDProfessional Counselor
T0988ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simona Borza Pmhnp, LLC CurrentSince Jul 25, 2019 Accepting new patients
Carter Counseling & Consulting PC CurrentSince Jul 25, 2019 Accepting new patients

Locations

9600 SW Oak St
Ste 325
Tigard, OR 97223
Phone (503) 206-5578

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1578906210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW OAK ST STE 325",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236588",
            "telephone_number": "503-206-5578",
            "fax_number": "503-935-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SW GREENBURG RD STE 205",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235502",
            "telephone_number": "503-206-5578",
            "fax_number": "503-935-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIE-WILLIAMS",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.ED MS NCC LPC LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0988",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R2040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathy@westsidefamilytherapy.org",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9600 SW Oak St Ste 325",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972236588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "HARDIE-WILLIAMS MED MS NCC LPC LMFT",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MED MS NCC LPC LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.