Cindy Jo Kavanagh, CADC I, AS, QMHA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14-05-17U Issued in OR

Practice address

15610 SE Division St
Portland, OR 97236-2002

Phone

(971) 202-7897

Fax

(503) 760-7463

NPI assigned

Jan 28, 2008

Sex

Female

Sole proprietor

No

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

Associate of Science

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1720265267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15610 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362002",
            "telephone_number": "971-202-7897",
            "fax_number": "503-760-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15610 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362002",
            "telephone_number": "971-202-7897",
            "fax_number": "503-760-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "CINDY",
        "middle_name": "JO",
        "credential": "CADC I, AS, QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "14-05-17U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supriya S Kaushik, PA-C
• Lisa L Kautzman, RN
• Kimberly Arlene Kauzer, MS, RD, LD
• Kimberly Kauzlarich, PHARMD
• Caroline B Kavanagh
• Kaitlyn D Kavanagh
• Elizabeth Clare Kavanaugh, CNM
• Christina Kavehrad, MA
• Margaret Kaveny, M.S.W.
• Taylor Kavkewitz

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.