NPIMap

Organization Active NPI

Kristen Genzano Therapy LLC

  • Counselor
  • Portland, OR
National Provider Identifier
1831540095
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KRISTEN GENZANO THERAPY LLC
Practice address
8885 SW Canyon Rd Ste 215
Portland, OR 97225-3429
Phone
(971) 712-6260
NPI assigned
Jun 28, 2016
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Kristen Ann GenzanoNPI 1679924583
Title
Owner
Phone
(480) 250-5932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

8885 SW Canyon Rd Ste 215
Portland, OR 97225-3429

Mailing address

8885 SW Canyon Rd Ste 215
Portland, OR 97225-3429
Phone (971) 712-6260

Other practice location 1

5300 SE Foster Rd
Portland, OR 97206-2938
Phone (971) 712-6260

Other practice location 2

510 SW 3rd Ave
210
Portland, OR 97204-2543
Phone (480) 250-5932

National Provider Directory

National Provider Directory

Locations

5300 SE Foster Rd
Portland, OR 97206
Phone (480) 250-5932

8885 SW Canyon Rd
Ste 215
Portland, OR 97225
Phone (971) 712-6260

Practitioners & affiliated clinicians

Practitioners 4

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": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1831540095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 SW CANYON RD STE 215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253429",
            "telephone_number": "971-712-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 SW CANYON RD STE 215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253429",
            "telephone_number": "971-712-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 SE Foster Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972062938",
            "country_code": "US",
            "telephone_number": "971-712-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 SW 3rd Ave",
            "address_2": "210",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972042543",
            "country_code": "US",
            "telephone_number": "480-250-5932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTEN GENZANO THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "GENZANO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-250-5932"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Apr 6, 2022; 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.