Active NPI
Judith Ann Kuntz, MA, LMFT
- Marriage & Family Therapist
- Wilsonville, OR
National Provider Identifier
1851591556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0453
- Practice address
- 8855 SW Holly Lane
Suite 106
Wilsonville, OR 97070 - Phone
- (503) 481-8943
- Fax
- (503) 925-1897
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0453 | OR | Primary |
Addresses
Primary practice location
8855 SW Holly Lane
Suite 106
Wilsonville, OR 97070
Mailing address
PO B0X 563
Wilsonville, OR 97070
Phone (503) 841-8943
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
| License | State | Type | Specialty |
|---|---|---|---|
| T0453 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1851591556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO B0X 563",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "97070",
"telephone_number": "503-841-8943",
"fax_number": "503-925-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8855 SW HOLLY LANE",
"address_2": "SUITE 106",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "97070",
"telephone_number": "503-481-8943",
"fax_number": "503-925-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNTZ",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.