Kayla Beckman, M.A. LPC INTERN
Individual provider Active NPI Mental Health Counselor · Portland, OR
NPI 1972049815 · NPPES record last updated Jan 17, 2017
Key facts
- NPI
- 1972049815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- R4388 (OR)
- Practice address
- 637 NE 188TH Ave
Portland, OR 97230-7111 - Phone
- (503) 347-6744
- NPI assigned
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4388 | OR | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R4388 | OR | Yes |
Addresses
Primary practice location
637 NE 188TH Ave
Portland, OR 97230-7111
Mailing address
637 NE 188TH Ave
Portland, OR 97230-7111
Phone (503) 347-6744
Other providers in Portland, OR
- Kellan Beckham
- Carlee Anne Beckler
- Jennifer M Beckley Hays
- Ethan Beckley
- Michael Alan Becklund
- Mary Elyse Beckman
- Morgyn Beckman
- Stacey Lynn Beckman
- Larry Dean Beckner
- Caitlin Alana Beckwith-Ferguson
All providers in Portland, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.