Active NPI
Kathleen Elizabeth Boase, LPC
- Professional Counselor
- Corvallis, OR
National Provider Identifier
1760253108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C8724
- 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, 2026
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| R8777 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two River Psychiatry | Current | 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.
-
- Professional Counselor
- Corvallis, OR
- NPI 1629986120
-
- Psychiatric/Mental Health Nurse Practitioner
- Corvallis, OR
- NPI 1770274979
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.