Active NPI
Killian Kuntz, LPC
- Professional Counselor
- Gresham, OR
National Provider Identifier
1982722740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1810
- Practice address
- 1700 NW Civic Dr
Western Psychological and Counseling Services
Gresham, OR 97030 - Phone
- (503) 666-8832
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
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 | C1810 | OR | Primary |
Addresses
Primary practice location
1700 NW Civic Dr
Western Psychological and Counseling Services
Gresham, OR 97030
Mailing address
PO Box 82819
Western Psychological and Counseling Services
Portland, OR 97282
Phone (503) 233-5405
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 |
|---|---|---|---|
| C1810 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1982722740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82819",
"address_2": "WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97282",
"telephone_number": "503-233-5405",
"fax_number": "503-233-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NW CIVIC DR",
"address_2": "WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97030",
"telephone_number": "503-666-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNTZ",
"first_name": "KILLIAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.