Active NPI
Michelle Jacinta Kirton, PHD
- Counseling Psychologist
- Portland, OR
National Provider Identifier
1730344607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1492
- Practice address
- 3181 SW Sam Jackson Park Rd
Mail Code: L-587 (Student Health Service)
Portland, OR 97239-3011 - Phone
- (503) 494-8665
- Fax
- (503) 494-2958
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1492 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Mail Code: L-587 (Student Health Service)
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Mail Code: L-587 (Student Health Service)
Portland, OR 97239-3011
Phone (503) 494-8665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1492 | OR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1730344607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAIL CODE: L-587 (STUDENT HEALTH SERVICE)",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8665",
"fax_number": "503-494-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAIL CODE: L-587 (STUDENT HEALTH SERVICE)",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8665",
"fax_number": "503-494-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRTON",
"first_name": "MICHELLE",
"middle_name": "JACINTA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OR",
"license": "1492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.