KATHRYN ANNE KIRKWOOD (MA, LPC C7612) – Mental Health Counselor, NPI 1235323544
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,181 MENTAL HEALTH COUNSELOR in OR
Provider Addresses for KATHRYN ANNE KIRKWOOD (MA, LPC C7612)
345 Monmouth Ave N
Monmouth, OR 973611329
Phone: (503) 838-8313
Type: Location
821 Saginaw St S
Salem, OR 973024121
Phone: (503) 589-4046
Type: Location
4455 NE HIGHWAY 20
CORVALLIS, OR 973309695
Phone: (541) 758-5375
Type: Mailing
821 SAGINAW ST S
SALEM, OR 973024121
Phone: (503) 589-4046
Type: Mailing
627, Northeast Evans Street, McMinnville, Yamhill County, Oregon, 97128, United States
MCMINNVILLE, OR 971283923
Phone: (503) 434-7523
Type: Location
4455 NE Highway 20
Corvallis, OR 973309695
Phone: (541) 758-5375
Type: Location
435 NE Evans St Ste A
McMinnville, OR 971284628
Phone: (503) 472-4020
Type: Location
627 NE Evans St
McMinnville, OR 971283923
Phone: (503) 434-7523
Type: Location
8555 SW APPLE WAY STE 320
PORTLAND, OR 972251775
Phone: (877) 840-6956
Fax: (619) 383-6701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240112003055 | I | Mental Health Counselor | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97361)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | TX | |
| Clinical Psychologist | OR | |
| Mental Health Counselor | OR | |
| Mental Health Counselor | WA | |
| Clinical Psychologist | OR | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | CO | |
| Clinical Social Worker | AK | |
| Nurse Practitioner | TN |
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