Kacey Butler
Counselor in Corvallis, OR. Individual provider (NPI-1).
NPI number1417576331
StatusActive
Last updated in NPPESApr 10, 2020
Details
- NPI
- 1417576331
- Entity type
- Individual (NPI-1)
- Name
- Kacey Butler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2020
- Certification date
- Apr 10, 2020
- Last updated
- Apr 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
4455 Ne Highway 20Corvallis, OR 97330-9695
Phone 541-758-5900
Mailing address
3415 Se Powell BlvdPortland, OR 97202-3371
Phone 503-234-9591
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 759 Counselor providers in Corvallis · All 4,542 providers in Corvallis
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