Individual provider Active NPI

Angie C Salzwedel Kemp

  • Mental Health Counselor
  • Klamath Falls, OR
National Provider Identifier
1649747098
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T2361 Issued in OR
Practice address
905 Main St St 607
Klamath Falls, OR 97601
Phone
(541) 591-1946
Fax
(541) 591-1946
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T2361 OR Primary

Addresses

Primary practice location

905 Main St St 607
Klamath Falls, OR 97601

Mailing address

905 Main St Ste 607
Klamath Falls, OR 97601-5800
Phone (541) 591-1946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419000360 OR Practitioner - Marriage and Family Therapist 4789023060 Practice locations: Klamath Falls, OR

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

905 Main St
Suite 607
Klamath Falls, OR 97601-5800
Phone (541) 229-5239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling and Mediation Practice, LLC Mental Health CurrentSince Feb 4, 2024 Accepting new patients

Locations

905 Main St
Ste 607
Klamath Falls, OR 97601
Phone (541) 229-5239

Organizations & group practices 1

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1649747098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAIN ST STE 607",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015800",
            "telephone_number": "541-591-1946",
            "fax_number": "541-887-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST ST 607",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-591-1946",
            "fax_number": "541-591-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZWEDEL KEMP",
        "first_name": "ANGIE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T2361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.