Individual provider Active NPI

Kathy Jean Rhodes, MA, LMHC, LPC

  • Mental Health Counselor
  • Astoria, OR
National Provider Identifier
1881083491
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60432642 Issued in WA
Practice address
637 W Marine Dr
Astoria, OR 97103-5821
Phone
(503) 766-5380
Fax
(844) 640-0665
NPI assigned
Jan 20, 2015
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 C7056 OR
Mental Health Counselor 101YM0800X LH60432642 WA Primary

Addresses

Primary practice location

637 W Marine Dr
Astoria, OR 97103-5821

Mailing address

637 W Marine Dr
Astoria, OR 97103-5821
Phone (503) 766-5380

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL GSuite

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
C7056ORMDMental Health Counselor
LH60432642WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lacamas Counseling LLC Mental Health PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1881083491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 W MARINE DR",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971035821",
            "telephone_number": "503-766-5380",
            "fax_number": "844-640-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 W MARINE DR",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971035821",
            "telephone_number": "503-766-5380",
            "fax_number": "844-640-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "KATHY",
        "middle_name": "JEAN",
        "credential": "MA, LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7056",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60432642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GSuite",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "637 W Marine Dr",
            "city": "Astoria",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971035821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.