Address: 5300 Se Foster Rd, Portland, OR 97206-2938

KRISTEN ANN GENZANO (NPI# 1679924583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679924583
Entity Type Individual
Gender Female
Practice Address 5300 Se Foster Rd
OR 97206-2938
Practice Telephone 4802505932
Mailing Address 5300 Se Foster Rd
OR 97206-2938
Mailing Telephone 4802505932
Certification Date 2020-11-11
Enumeration Date 2016-06-22
Last Update Date 2020-11-11
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 178.011112 IL Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
LH60665316 WA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
C4447 OR Behavioral Health & Social Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
510 Sw 3rd Avenue, Suite 210, Portland, OR 972042635, US 4802505932

Office Location

Street Address 5300 SE FOSTER RD
State OR
Zip Code 97206-2938

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326543257 Anna Horvitz Massage Therapist 5300 Se Foster Rd, Portland, OR 97206-2938 2018-03-23
1134728181 Caroline Kinsley Counselor - Mental Health 5300 Se Foster Rd, Portland, OR 97206-2938 2020-10-21
1831540095 Kristen Genzano Therapy LLC Counselor 5300 Se Foster Rd, Portland, OR 97206-2938 2016-06-28

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1831597590 Boey Yean Lim · May Lim Acupuncturist 4629 Se Woodstock Blvd, Portland, OR 97206 2014-12-12
1063774990 Molly A Norris Massage Therapist 6217 Se Harold St, Portland, OR 97206 2012-06-15
1154678423 Annelise Sevastiana Schnase Counselor - Mental Health 4311 Se Woodstock Blvd, Portland, OR 97206 2012-08-06
1356612568 Sean Ryan White Chiropractor 8029 Se Woodstock Blvd., Portland, OR 97206 2012-01-19
1104121938 Columbia Pharmacy LLC Pharmacy - Mail Order Pharmacy 8122 Se Tibbetts St., Portland, OR 97206 2011-01-26
1902122393 Chalaina Connors Counselor - Mental Health 5802 Se Powell Blvd, Portland, OR 97206 2010-04-11
1891186508 Teresa Leckron-Myers Case Manager/Care Coordinator 7916 Se Foster Rd, Portland, OR 97206 2015-02-17
1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1548554306 Kelly Christen Counselor - Mental Health 6449 Se 128th Avenue, Portland, OR 97206 2011-06-08
1861690968 Kimberly Reed Counselor - Mental Health 2415 Se 43rd 43rd Ave., Suite 200, Portland, OR 97206 2007-07-10
Find all in zip 97206

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467121129 Olivia Siulagi Counselor 4531 Se Belmont St Ste 117and, Portland, OR 97215-1699 2021-09-07
1124796685 Mark Andrew Stouffer Counselor 4262 N Vancouver Ave, #311, Portland, OR 97217 2021-08-31
1184290413 Courtney A Watson Counselor 2951 Se Taylor St, Portland, OR 97214-4032 2021-05-27
1295326262 David Burnell Counselor 3650 Ne Mallory Ave Apt 101, Portland, OR 97212-3088 2021-02-01
1073102869 Brian Michael Thatcher Counselor Lifeworks Northwest, 5415 Sw Westgate Drive, Portland, OR 97221 2021-01-15
1104427160 Kristine Lee Jones Counselor 2628 Se 87th Ave, Portland, OR 97266-1530 2020-11-05
1932711322 Rachel Wilson Counselor 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 2020-08-18
1851919906 Anjana Rajan Counselor Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-07-06
1972124196 Outside In Counselor 16144 E Burnside St, Portland, OR 97233-3520 2020-04-28
1962022350 Nicole Blake · Nicole Jewell Counselor 400 Commercial St, Portland, ME 04101-4660 2020-04-25
Find all providers in PORTLAND


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Zip Code 97206

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Dataset Information

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.