Individual provider Active NPI

Alicia Kim Trukositz, B.S.

  • Professional Counselor
  • McMinnville, OR
National Provider Identifier
1821233859
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
435 NE Evans St Ste a
McMinnville, OR 97128-4628
Phone
(503) 472-4020
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

435 NE Evans St Ste a
McMinnville, OR 97128-4628

Mailing address

435 NE Evans St Ste a
McMinnville, OR 97128-4635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240907000098 OR Practitioner - Mental Health Counselor 1456891258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Community Services Northwest CurrentSince Jun 24, 2024 Accepting new patients
Lutheran Community Services Northwest Current Accepting new patients
Lutheran Community Services Northwest Mental Health PastSince Aug 13, 2023 Accepting new patients

Locations

2545 N Eldorado Ave
Klamath Falls, OR 97601
Phone (541) 883-3471

435 NE Evans St
Ste A
McMinnville, OR 97128
Phone (503) 472-4020

4040 S 188th St
Ste 300
Seatac, WA 98188
Phone (206) 816-3253

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1821233859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 NE EVANS ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NE EVANS ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284628",
            "telephone_number": "503-472-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUKOSITZ",
        "first_name": "ALICIA",
        "middle_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.