Individual provider Active NPI

Kari L Maljai, MA

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1790835676
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3200 Issued in OR
Practice address
6674 SE Milwaukie Ave
Suite B210
Portland, OR 97202-5616
Phone
(971) 258-2120
Fax
(971) 200-2719
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3200 OR Primary

Addresses

Primary practice location

6674 SE Milwaukie Ave
Suite B210
Portland, OR 97202-5616

Mailing address

6674 SE Milwaukie Ave
Suite B210
Portland, OR 97202-5616
Phone (971) 258-2120

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C3200ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1790835676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 SE MILWAUKIE AVE",
            "address_2": "SUITE B210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025616",
            "telephone_number": "971-258-2120",
            "fax_number": "971-200-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6674 SE MILWAUKIE AVE",
            "address_2": "SUITE B210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025616",
            "telephone_number": "971-258-2120",
            "fax_number": "971-200-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALJAI",
        "first_name": "KARI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.