Active NPI
Kristin Hunziker, CMA (AAMA), QMHA-R
- Mental Health Counselor
- Hillsboro, OR
National Provider Identifier
1992461156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1049 SW Baseline St Ste D490
Hillsboro, OR 97123-3857 - Phone
- (971) 998-9747
- Fax
- (503) 747-0634
- NPI assigned
- Nov 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1049 SW Baseline St Ste D490
Hillsboro, OR 97123-3857
Mailing address
543 SE Cedar St
Hillsboro, OR 97123-4415
Phone (757) 343-4974
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
- Certified Medical Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness by Design, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Beaverton, OR
- NPI 1255824264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1992461156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 SE CEDAR ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234415",
"telephone_number": "757-343-4974",
"fax_number": "503-747-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 SW BASELINE ST STE D490",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971233857",
"telephone_number": "971-998-9747",
"fax_number": "503-747-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNZIKER",
"first_name": "KRISTIN",
"credential": "CMA (AAMA), QMHA-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.