Tiffany Rae Barr, LPC
Individual provider Active NPI Counselor · Gresham, OR
NPI 1033414040 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1033414040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 510 NE Roberts Ave Ste 200
Gresham, OR 97030-7484 - Phone
- (503) 799-8819
- NPI assigned
- Jan 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
510 NE Roberts Ave
Suite 200
Gresham, OR 97030-7484
Phone (503) 799-8819
PO Box
Suite 9
Tillamook, OR 97141
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251010001885 | OR | Practitioner - Mental Health Counselor | 6709383011 | Practice locations: Gresham, OR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Garden Counseling, LLC | Current |
Accepting new patients |
Locations
510 NE Roberts Ave
Ste 200
Gresham, OR 97030
Phone (503) 799-8819
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | OR | Yes |
Addresses
Primary practice location
510 NE Roberts Ave Ste 200
Gresham, OR 97030-7484
Mailing address
510 NE Roberts Ave Ste 200
Gresham, OR 97030-7484
Phone (503) 799-8819
NPI Registry JSON
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1033414040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 NE ROBERTS AVE STE 200",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307484",
"telephone_number": "503-799-8819",
"fax_number": "503-404-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 NE ROBERTS AVE STE 200",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307484",
"telephone_number": "503-799-8819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "TIFFANY",
"middle_name": "RAE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.