Individual provider Active NPI

James E Konopasek, M.S.

  • Contractor
  • The Dalles, OR
National Provider Identifier
1942407010
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
POLYG EXAMINER - 173 Issued in OR
Practice address
502 Washington St
Suite 206B
The Dalles, OR 97058-2270
Phone
(541) 490-7673
Fax
(541) 298-5653
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X FC00000109 WA
Contractor 171W00000X POLYG EXAMINER - 173 OR Primary

Addresses

Primary practice location

502 Washington St
Suite 206B
The Dalles, OR 97058-2270

Mailing address

502 Washington St
Suite 206B
The Dalles, OR 97058-2270
Phone (541) 490-7673

Other identifiers 3

IdentifierTypeStateIssuer
298043OtherOROMAP PROVIDER NUMBER
L43392OtherORDHS PROVIDER NUMBER
215538OtherWAWA DSHS PROVIDER NUMBER

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 Science

State licenses

LicenseStateTypeSpecialty
FC00000109WAMDCounselor
POLYG EXAMINER - 173ORMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942407010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WASHINGTON ST",
            "address_2": "SUITE 206B",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582270",
            "telephone_number": "541-490-7673",
            "fax_number": "541-298-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WASHINGTON ST",
            "address_2": "SUITE 206B",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582270",
            "telephone_number": "541-490-7673",
            "fax_number": "541-298-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPASEK",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "FC00000109",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "POLYG EXAMINER - 173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP PROVIDER NUMBER",
            "identifier": "298043",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS PROVIDER NUMBER",
            "identifier": "L43392",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DSHS PROVIDER NUMBER",
            "identifier": "215538",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.