Individual provider Active NPI

Kerry Cohen, COUNSELOR

  • Counselor
  • Portland, OR
National Provider Identifier
1144779893
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
R3461 Issued in OR
Practice address
650 NE Holladay St
Ste 1685
Portland, OR 97232-2045
Phone
(503) 757-1606
NPI assigned
Sep 22, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X R3461 OR Primary

Addresses

Primary practice location

650 NE Holladay St
Ste 1685
Portland, OR 97232-2045

Mailing address

650 NE Holladay St
Ste 1685
Portland, OR 97232-2045
Phone (503) 757-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R3461ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1144779893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NE HOLLADAY ST",
            "address_2": "STE 1685",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322045",
            "telephone_number": "503-757-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NE HOLLADAY ST",
            "address_2": "STE 1685",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322045",
            "telephone_number": "503-757-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KERRY",
        "name_prefix": "Ms.",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "R3461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.