Active NPI
Debra L Kitchin
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1952610982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1362
- Practice address
- 1401 NE 68TH Ave
Portland, OR 97213-4957 - Phone
- (971) 347-4562
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1362 | OR | Primary |
| Professional Counselor | 101YP2500X | C5103 | OR |
Addresses
Primary practice location
1401 NE 68TH Ave
Portland, OR 97213-4957
Mailing address
1401 NE 68TH Ave
Portland, OR 97213-4957
Phone (971) 347-4562
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5103 | OR | MD | Professional Counselor |
| T1362 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1952610982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 NE 68TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972134957",
"telephone_number": "971-347-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 NE 68TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972134957",
"telephone_number": "971-347-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHIN",
"first_name": "DEBRA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1362",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5103",
"primary": false
}
],
"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 Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.