Individual provider Active NPI

Kathleen Elizabeth Boase, LPC

  • Professional Counselor
  • Corvallis, OR
National Provider Identifier
1760253108
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C8724 Issued in OR
Practice address
257 SW Madison Ave Ste 207
Corvallis, OR 97333-4757
Phone
(541) 224-8350
NPI assigned
Jan 15, 2024
Last updated
Sep 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C8724 OR Primary

Addresses

Primary practice location

257 SW Madison Ave Ste 207
Corvallis, OR 97333-4757

Mailing address

257 SW Madison Ave Ste 207
Corvallis, OR 97333-4757
Phone (541) 224-8350

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

LicenseStateTypeSpecialty
R8777ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Two River Psychiatry CurrentSince Jan 21, 2024 Accepting new patients
Riverstone Wellness LLC Professional Past Accepting new patients

Locations

257 SW Madison Ave
Ste 209
Corvallis, OR 97333
Phone (614) 420-5093

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1760253108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 SW MADISON AVE STE 207",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334757",
            "telephone_number": "541-224-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 SW MADISON AVE STE 207",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334757",
            "telephone_number": "541-224-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOASE",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.