Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mutinta Kalambo

Counselor β€’ Grants Pass, OR

Active NPI 1912457490 Individual Practitioner Female Practitioner
Practice location in NPPES

1750 Nebraska Ave
Grants Pass, OR 975275700

Call 5419564943 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1750 Nebraska Ave

Grants Pass, OR 975275700

Telephone 5419564943
Organization at the Same NPPES Address or Phone
Kairos Northwest Facility NPI 1487782900

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grants Pass and Oregon

95 active clinicians are listed under Counselor with a practice address in Grants Pass, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grants Pass

0% of these 95 clinicians have the CMS telehealth indicator.

0% of these 95 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Carmen Heidecke , CRC, LPC

Counselor - Professional

NPI 1588057004

Certified Rehabilitation Counselor, Licensed Professional Counselor

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active February 12, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 12, 2017

Registered at 1750 NEBRASKA AVE, GRANTS PASS, OR 975275700 (Tel: 5419564943)

πŸ“
Updated Business Mailing Address February 12, 2017

Registered at 715 SW RAMSEY AVE, GRANTS PASS, OR 975275500 (Tel: 5417784613)

πŸ‘€
Provider Name / Credentials Updated February 12, 2017

Recorded as MUTINTA KALAMBO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2017

Counselor

βœ…
NPI Profile Active October 10, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 10, 2016

Registered at 7609 SW RAMSEY AVE, GRANTSPASS, OR 97527 (Tel: 5419564943)

πŸ“
Business Mailing Address (Initial Record) October 10, 2016

Registered at 7609 SADDLEBROOK WAY, WHITE CITY, OR 975031564 (Tel: 5417784613)

πŸ‘€
Provider Name / Credentials (Initial Record) October 10, 2016

Recorded as MUTINTA KALAMBO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2016

Counselor

🟒
Initial NPI Registration & Enumeration October 10, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1912457490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2016
Last Update: February 12, 2017
Sole Proprietor: Yes

Mailing Address

715 Sw Ramsey Ave

Grants Pass, OR 975275500

Phone: 5417784613

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.