NPIMap

Organization Active NPI

Kolpia Counseling Services Inc

  • Mental Health Counselor
  • Ashland, OR
National Provider Identifier
1760575500
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KOLPIA COUNSELING SERVICES INC
Practice address
611 Siskiyou Blvd
Suite 8
Ashland, OR 97520-2151
Phone
(541) 482-1718
Fax
(541) 482-0964
NPI assigned
Oct 2, 2006
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Mr. Steven Fogelman, LPC, CADC III, MACNPI 1942456009
Title
Executive Director
Phone
(541) 482-1718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X OR
Mental Health Counselor 101YM0800X OR Primary

Addresses

Primary practice location

611 Siskiyou Blvd
Suite 8
Ashland, OR 97520-2151

Mailing address

611 Siskiyou Blvd
Suite 8
Ashland, OR 97520-2151
Phone (541) 482-1718

Other identifiers 5

IdentifierTypeStateIssuer
6260118OtherORUNITED HEALTHCARE
025136000OtherORBLUE CROSS BLUE SHIELD
165327OtherOROREGON HEALTH PLAN
0001026863OtherORMHN SERVICES
J0314OtherORPACIFIC SOURCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1760575500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SISKIYOU BLVD",
            "address_2": "SUITE 8",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202151",
            "telephone_number": "541-482-1718",
            "fax_number": "541-482-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SISKIYOU BLVD",
            "address_2": "SUITE 8",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202151",
            "telephone_number": "541-482-1718",
            "fax_number": "541-482-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLPIA COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "FOGELMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-482-1718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, CADC III, MAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6260118",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "025136000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH PLAN",
            "identifier": "165327",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN SERVICES",
            "identifier": "0001026863",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "J0314",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.