MS. MARY KATHRYN KIRCHOFF (NPI# 1558570473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558570473 |
| Entity Type | Individual |
| Full Name | MS. MARY KATHRYN KIRCHOFF |
| Practice Address |
14195 Sw Millikan Way Beaverton OR 97005-2307 |
| Mailing Address |
10355 Sw Kable St Tigard OR 97224-4621 |
| Practice Telephone | 5036442545 |
| Mailing Telephone | 5035980792 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639705239 | Mary Kirchoff | Behavior Technician | 6475 Sierra Ln, Dublin, CA 94568-2796 | 2020-03-16 |
| Street Address |
14195 SW MILLIKAN WAY |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659327799 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2006-05-26 |
| 1386925774 | Haley Throckmorton | Case Manager/Care Coordinator | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2011-08-30 |
| 1073891909 | Joseph Gerard Gardiner | Counselor | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2011-07-26 |
| 1437457447 | John F Wheeler | Counselor | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2011-03-01 |
| 1780982793 | Elizabeth M Minick | Social Worker | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2011-03-01 |
| 1699073601 | Margaret E Sokal | Social Worker | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2011-03-01 |
| 1982910980 | Robin Renee Willins | Counselor | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2010-08-27 |
| 1952613648 | Alisa Vanderzalm | Counselor | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2010-07-09 |
| 1285946087 | Samual S Craytor | Counselor | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2010-07-08 |
| 1497997282 | Arleen Slive | Counselor | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2009-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232862 | Olivia Suzanne Botsford | Case Manager/Care Coordinator | 2369 Nw Schmidt Way Apt 117, Beaverton, OR 97006-4775 | 2020-07-08 |
| 1255958674 | Kathy Hays | Case Manager/Care Coordinator | 17887 Sw Bryan Way, Beaverton, OR 97007-6728 | 2020-07-01 |
| 1053869164 | Christina Annette Greco | Case Manager/Care Coordinator | 11700 Sw Allen Blvd Apt 3, Beaverton, OR 97005-4848 | 2016-09-17 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1912279142 | Kimberly Ann Petros | Case Manager/Care Coordinator | 12350 Sw 5th St Ste 100, Beaverton, OR 97005-2819 | 2012-02-03 |
| 1922563444 | Heather Ashley Olson | Case Manager/Care Coordinator | 16535 Sw Tualatin Valley Hwy, Beaverton, OR 97003-5143 | 2019-02-08 |
| 1366910390 | Joshua Yao Zheng | Case Manager/Care Coordinator | 16535 Sw Tualatin Valley Hwy, Beaverton, OR 97003-5143 | 2018-11-07 |
| 1912475070 | Ann Marie West | Case Manager/Care Coordinator | 16535 Sw Tualatin Valley Hwy, Beaverton, OR 97003-5143 | 2018-11-07 |
| 1609356690 | Jennifer Caitlin Burke | Case Manager/Care Coordinator | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR 97005-3035 | 2018-08-19 |
| 1568978070 | Scott Andrew Lagravinese | Case Manager/Care Coordinator | 16535 Sw Tualatin Valley Hwy, Beaverton, OR 97003-5143 | 2017-12-19 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.