Philip Kolba, MA LPC NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

818 SW 3Rd Ave Ste 221-9687
Portland, OR 97204-2405

Phone

(503) 987-0337

Fax

(503) 388-3082

NPI assigned

Jan 14, 2013

Last updated

Sep 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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

• Volition, LLC

  dba The Kolba Group

  • Mental Health Counselor
  • Portland, OR
  • NPI 1821537499
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1053658807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SW 3RD AVE STE 221-9687",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042405",
            "telephone_number": "503-987-0337",
            "fax_number": "503-388-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SW 3RD AVE STE 221-9687",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042405",
            "telephone_number": "503-987-0337",
            "fax_number": "503-388-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBA",
        "first_name": "PHILIP",
        "credential": "MA LPC NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naoko Koki, O.T.
• Marcella Kokinda, CADCI
• Cordelia Kolar, QMHA
• Julianne Bartlett Kolb
• Gniewosz Paul Kolba, M.A., QMHP
• Karl James Kolbeck, PT
• Kenneth John Kolbeck, MD, PHD
• Sasha Laurel Kolbeck, MPT
• Richard Kolbell, PH.D., ABPP
• Seda Eliam Kolbjorn, LMT

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.