{"npi":"1497489280","type":"NPI-1","status":"active","name":{"display":"Rebecca Kinman LCSW","other":[],"first":"REBECCA","last":"KINMAN","middle":"AMETHYST","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":false,"state":null,"license":null},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"OR","license":"L16209"}]},"addresses":[{"purpose":"LOCATION","street_1":"2404 SE 113TH AVE","city":"PORTLAND","state":"OR","postal_code":"972164042","country_code":"US","phone":"9712580220","fax":"9714844002"},{"purpose":"MAILING","street_1":"2404 SE 113TH AVE APT A","city":"PORTLAND","state":"OR","postal_code":"972164042","country_code":"US","phone":"9712580220","fax":"9714844002"}],"license":{"state":"OR","number":"L16209"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"500809034","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-07-15","last_updated":"2026-03-16","_meta":{"source":"NPPES","snapshot_date":"2026-03-16","doc_url":"https://findmynpi.com/api"}}