KATHRYN ANNE KIRKWOOD MA, LPC C7612
NPI 1235323544
Counselor - Mental Health in Portland, OR

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment
8555 SW APPLE WAY STE 320, PORTLAND, OR 97225(877) 840-6956(619) 383-6701 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2023, Oct 5, 2023, Jul 27, 2021 and 3 more (6 updates tracked since 2017).

About Kathryn Anne Kirkwood Ma, Lpc C7612 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN ANNE KIRKWOOD MA, LPC C7612 (NPI 1235323544) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C7612) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235323544
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHRYN ANNE KIRKWOODCredential: MA, LPC C7612
Location Address8555 SW APPLE WAY STE 320Portland, OR 97225-1775
Mailing Address8555 Sw Apple Way Ste 320Portland, OR 97225-1775 · (877) 840-6956 · Fax (619) 383-6701
Fax(619) 383-6701
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 29, 2007
Last NPPES UpdateOctober 20, 20236 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
NPI 1235323544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · C7612
8555 SW APPLE WAY STE 320, Portland, OR 97225

Other Names 1

Former Name (1)Kathryn Anne Endersby Ma

Secondary Practice Locations 5

Location 1345 Monmouth Ave NMonmouth, OR 97361-1329 · Phone (503) 838-8313
Location 2435 NE Evans St Ste AMcMinnville, OR 97128-4628 · Phone (503) 472-4020
Location 3627 NE Evans StMcMinnville, OR 97128-3923 · Phone (503) 434-7523
Location 44455 NE Highway 20Corvallis, OR 97330-9695 · Phone (541) 758-5375
Location 5821 Saginaw St SSalem, OR 97302-4121 · Phone (503) 589-4046

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathryn Anne Kirkwood Ma, Lpc C7612 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941651012
PECOS Enrollment IDI20240112003055
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
8555 SW APPLE WAY STE 320
PORTLAND, OR 97225
Social Worker (Clinical)
8555 SW APPLE WAY STE 320
PORTLAND, OR 97225
Marriage & Family Therapist
8555 SW APPLE WAY STE 320
PORTLAND, OR 97225
Social Worker (Clinical)
8555 SW APPLE WAY STE 320
PORTLAND, OR 97225
Nurse Practitioner (Psychiatric/Mental Health)
8555 SW APPLE WAY STE 320
PORTLAND, OR 97225
Social Worker (Clinical)
8555 SW APPLE WAY STE 320
PORTLAND, OR 97225
Social Worker (Clinical)
8555 SW APPLE WAY STE 320
PORTLAND, OR 97225
Psychologist
8555 SW APPLE WAY STE 320
PORTLAND, OR 97225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Kirkwood's NPI number?

The NPI number for Kathryn Kirkwood is 1235323544. It was assigned to this individual provider in the NPPES registry on August 29, 2007. The provider is also known as Kathryn Anne Endersby Ma.

Where is Kathryn Kirkwood located?

Kathryn Kirkwood practices at 8555 SW Apple Way Ste 320, Portland, OR 97225. The listed phone number is (877) 840-6956.

What is Kathryn Kirkwood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathryn Kirkwood enrolled in Medicare?

Yes. Kathryn Kirkwood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Kirkwood accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kathryn Kirkwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Kirkwood was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.