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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
I20251010001885 OR Practitioner - Mental Health Counselor 6709383011 Practice locations: Gresham, OR

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Garden Counseling, LLC Current
since Mar 31, 2024
Accepting new patients

Locations

510 NE Roberts Ave
Ste 200
Gresham, OR 97030
Phone (503) 799-8819

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2025.

{
    "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

All providers in Gresham, OR · Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.