Individual provider Active NPI

Kathleen Ann Compton, MA, NCC, LPC

  • Professional Counselor
  • Medford, OR
National Provider Identifier
1891215950
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C4525 Issued in OR
Practice address
815 E Jackson St
Medford, OR 97504-6713
Phone
(541) 245-2787
Fax
(541) 201-8103
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C4525 OR Primary

Addresses

Primary practice location

815 E Jackson St
Medford, OR 97504-6713

Mailing address

11048 Highway 238
Jacksonville, OR 97530-9604
Phone (541) 245-2787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Opted out of Medicare
Yes, effective Jun 18, 2026 through Jun 18, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205003722 OR Practitioner - Marriage and Family Therapist 2961845110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C4525ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Counseling Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Hutter & Seeley Psychological Services, P.C. PastSince Jan 1, 2024 Accepting new patients

Locations

815 E Jackson St
Medford, OR 97504
Phone (541) 245-2787

Organizations & group practices 2

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1891215950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11048 HIGHWAY 238",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309604",
            "telephone_number": "541-245-2787",
            "fax_number": "541-201-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046713",
            "telephone_number": "541-245-2787",
            "fax_number": "541-201-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.