Katherine Rachel Kilbourn

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6018 SE Stark St
Portland, OR 97215-1990

Phone

(541) 517-9733

NPI assigned

Apr 11, 2022

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

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Roots Therapy NW LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1831789098
  Medicare reassignment

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1740922665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161555",
            "telephone_number": "916-502-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151990",
            "telephone_number": "541-517-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBOURN",
        "first_name": "KATHERINE",
        "middle_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Wairimu Kihunyu, APRN
• Rose Kiken, RN, IBCLC
• Jeffrey Kiker, N.D., BS, AS, LMT
• Alexis Nichole Kikes, EFDA
• Aaron Gregory Kilber, M.D.
• Michael Joseph Kilbourne, M.D.
• Willa Kilbourne
• Kathleen Kilburg, M.A.
• Michael Kilbury
• Caitlin Kiley, MA

• 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 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.