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KATHERINE KEATING MA, LPC
NPI 1306495767
Counselor - Mental Health in Portland, OR

Active since September 09, 2019PECOS EnrolledAccepts Medicare Assignment
1711 E BURNSIDE ST, PORTLAND, OR 97214(503) 957-7907 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Sep 9, 2019 (2 updates tracked since 2019).

About Katherine Keating Ma, Lpc NPPES

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

KATHERINE KEATING MA, LPC (NPI 1306495767) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R5505) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306495767
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE KEATINGCredential: MA, LPC
Location Address1711 E BURNSIDE STPortland, OR 97214-2097
Mailing Address61059 Snowberry PlBend, OR 97702-9171 · (503) 957-7907
Phone(503) 957-7907
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 9, 2019
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1306495767 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 · R5505
1711 E BURNSIDE ST, Portland, OR 97214
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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

Katherine Keating Ma, Lpc 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 ID4486162609
PECOS Enrollment IDI20250731000924
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

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

AUTUMN FARRARA MA
Marriage & Family Therapist
1711 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (971) 368-2119

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 Katherine Keating's NPI number?

The NPI number for Katherine Keating is 1306495767. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Katherine Keating located?

Katherine Keating practices at 1711 E Burnside St, Portland, OR 97214. The listed phone number is (503) 957-7907.

What is Katherine Keating's specialty?

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

Is Katherine Keating enrolled in Medicare?

Yes. Katherine Keating 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.

When was this NPI record last updated?

The NPPES record for Katherine Keating was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.