Active NPI
Kathryn Lynn Clowes, LPC, MFT
- Professional Counselor
- Beaverton, OR
National Provider Identifier
1962525345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1610
- Practice address
- 1500 NW Bethany Blvd
Suite 200
Beaverton, OR 97006-5208 - Phone
- (971) 235-7401
- Fax
- (503) 227-8657
- NPI assigned
- Apr 9, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1610 | OR | Primary |
Addresses
Primary practice location
1500 NW Bethany Blvd
Suite 200
Beaverton, OR 97006-5208
Mailing address
1500 NW Bethany Blvd
Suite 200
Beaverton, OR 97006-5236
Phone (971) 235-7401
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 |
|---|---|---|---|
| C1610 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962525345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NW BETHANY BLVD",
"address_2": "SUITE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970065236",
"telephone_number": "971-235-7401",
"fax_number": "503-227-8657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NW BETHANY BLVD",
"address_2": "SUITE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970065208",
"telephone_number": "971-235-7401",
"fax_number": "503-227-8657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOWES",
"first_name": "KATHRYN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.