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KAI DEVA CARLI MA AT, ATR-P
NPI 1750004057
Counselor - Mental Health in Portland, OR

Active since September 21, 2022PECOS Enrolled
11 NE MLK BLVD STE 203, PORTLAND, OR 97232(971) 350-1122(971) 350-3401 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2025, Sep 27, 2022, Sep 21, 2022 (3 updates tracked since 2022).

About Kai Deva Carli Ma At, Atr-p NPPES

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

KAI DEVA CARLI MA AT, ATR-P (NPI 1750004057) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750004057
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAI DEVA CARLICredential: MA AT, ATR-P
Location Address11 NE MLK BLVD STE 203Portland, OR 97232-3579
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3690
Phone(971) 350-1122
Fax(971) 350-3401
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 21, 2022
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1750004057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedArt TherapistTaxonomy 221700000X
11 NE MLK BLVD STE 203, Portland, OR 97232
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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 (PECOS)

Kai Deva Carli Ma At, Atr-p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547736464
PECOS Enrollment IDI20260417003063
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 3

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

JOHN MATTHEW LIVENGOOD
Counselor (Mental Health)
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122
REBEL HEART THERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122
TAMARA WERNER-FITZ GIBBON LPC, LMHC
Counselor (Mental Health)
11 NE MLK BLVD STE 203
PORTLAND, OR 97232
Multnomah County (971) 350-1122

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 Kai Carli's NPI number?

The NPI number for Kai Carli is 1750004057. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Kai Carli located?

Kai Carli practices at 11 NE Mlk Blvd Ste 203, Portland, OR 97232. The listed phone number is (971) 350-1122.

What is Kai Carli's specialty?

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

Is Kai Carli enrolled in Medicare?

Yes. Kai Carli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kai Carli was last updated on March 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.