Kathleen Clarke Pelton, MA, LMFT, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C1616 Issued in OR

Practice address

565 A St
Suite 203
Ashland, OR 97520-2063

Phone

(541) 552-9797

NPI assigned

Oct 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1679761977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 MORTON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203151",
            "telephone_number": "541-552-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 A ST",
            "address_2": "SUITE 203",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202063",
            "telephone_number": "541-552-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE PELTON",
        "first_name": "KATHLEEN",
        "credential": "MA, LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1616",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Christopherson
• William Noah Churchill, LMT
• Circle of Trust Healing Center, LLC
• City of Ashland
• Lonnie Clark, CADC I
• Judith L Clarke, RN
• Nadja Patrice Clarke, C.L.M.T.
• Lisa Renay Clayton, FNP
• Debra Cleland
• Janhavi Cleveland

• Mental Health Counselor in Ashland, OR
• Providers in Ashland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.