Katherine J Kauffman, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3371 Issued in OR

Practice address

3620 SE Powell Blvd # 102
Portland, OR 97202-1880

Phone

(503) 486-8936

Fax

(503) 894-6020

NPI assigned

Sep 13, 2010

Last updated

Apr 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kate Kauffman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brave Space, LLC

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1255885919
  NPD
• In Context, LLC

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1811409691

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1700193612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 SE POWELL BLVD # 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021880",
            "telephone_number": "503-486-8936",
            "fax_number": "503-894-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 SE POWELL BLVD # 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021880",
            "telephone_number": "503-486-8936",
            "fax_number": "503-894-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5627 SE Woodstock Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972066830",
            "country_code": "US",
            "telephone_number": "503-486-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "KAUFFMAN",
            "credential": "MA, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ellen Kaufer, LPC
• Sonya Elizabeth Kauffman-Smith, RD, LD, CDE
• Bryan Kauffman, RN
• Jonathan D Kauffman
• Kameron Taylor Kauffman, PHARMD
• Meghan L Kauffman, RN
• Sara Boro Kauffman, NP
• Alana D Kaufman, M.A
• Alison Rachel Kaufman
• Carolyn Stark Kaufman, MD, PHD

• Mental Health Counselor in Portland, OR
• Providers in Portland, 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 Apr 19, 2019; 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.