Katherin Thomson Van Doren, MA COUNSELING ART TX

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4790 N Lombard St
Morrison Center
Portland, OR 97203-4565

Phone

(503) 258-4557

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kate T Phipps Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1780730705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 SE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144235",
            "telephone_number": "916-212-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 N LOMBARD ST",
            "address_2": "MORRISON CENTER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034565",
            "telephone_number": "503-258-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DOREN",
        "first_name": "KATHERIN",
        "middle_name": "THOMSON",
        "name_prefix": "Ms.",
        "credential": "MA COUNSELING ART TX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "PHIPPS",
            "middle_name": "T",
            "credential": "MAAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Van Den Heuvel, MSW
• Faye Van Der Fluit, PHD
• Emily Van Der Laan, MA LPC INTERN
• Andrew Russell Van Der Werf, LMT
• Ryan Van Dordrecht
• Karen Van Dusen, BA
• Leah Rae Van Dusen, CADC-R
• Rachel Elena Van Dusen, M.D.
• Nathan Thomas Van Dyk, M.D.
• Aubrey Ann Van Dyke-Ginell, PA-C

• Student in an Organized Health Care Education/Training Program in Portland, OR
• Providers in Portland, OR by specialty
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.