Active NPI
Kristen Van Tuyl
- Professional Counselor
- Clackamas, OR
National Provider Identifier
1730963141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R10039
- Practice address
- 10151 SE Sunnyside Rd Ste 480
Clackamas, OR 97015-5705 - Phone
- (503) 739-8321
- Fax
- (971) 209-7172
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | R10039 | OR | Primary |
Addresses
Primary practice location
10151 SE Sunnyside Rd Ste 480
Clackamas, OR 97015-5705
Mailing address
10151 SE Sunnyside Rd Ste 480
Clackamas, OR 97015-5705
Phone (971) 395-5547
Other practice location 1
1750 Blankenship Rd Ste 400
West Linn, OR 97068-5102
Phone (971) 396-5290
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R10039 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Counselor | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1730963141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 SE SUNNYSIDE RD STE 480",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155705",
"telephone_number": "971-395-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10151 SE SUNNYSIDE RD STE 480",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155705",
"telephone_number": "503-739-8321",
"fax_number": "971-209-7172"
}
],
"practiceLocations": [
{
"address_1": "1750 Blankenship Rd Ste 400",
"address_purpose": "LOCATION",
"city": "West Linn",
"state": "OR",
"postal_code": "970685102",
"country_code": "US",
"telephone_number": "971-396-5290",
"fax_number": "503-594-8193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN TUYL",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R10039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.