Active NPI
Thomas K Kirkland Jr.
- Counselor
- Corvallis, OR
National Provider Identifier
1639357619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1760 SW 3Rd St
Corvallis, OR 97333-1725 - Phone
- (541) 207-3773
- Fax
- (800) 549-1017
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1760 SW 3Rd St
Corvallis, OR 97333-1725
Mailing address
1760 SW 3Rd St
Corvallis, OR 97333-1725
Phone (541) 207-3773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 18, 2025 through Aug 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1639357619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 SW 3RD ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973331725",
"telephone_number": "541-207-3773",
"fax_number": "800-549-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 SW 3RD ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973331725",
"telephone_number": "541-207-3773",
"fax_number": "800-549-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKLAND",
"first_name": "THOMAS",
"middle_name": "K",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.