SOPHIA KUKLADYER
NPI 1528354040
Marriage & Family Therapist in Portland, OR
About Sophia Kukladyer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA KUKLADYER (NPI 1528354040) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (T1429) and active in the NPI registry since June 2011.
NPPES Registry Identity
Specialties & Licenses 2
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528354040, enumerated as an "individual" on June 23, 2011.
The provider is located at 2574 NW THURMAN ST PORTLAND, OR 97210 and the phone number is (503) 455-4227.
Marriage & Family Therapist with taxonomy code 106H00000X.
