Cory Van Engers

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

805 SE 151St Ave
Portland, OR 97233-2916

Phone

(971) 271-7270

NPI assigned

Dec 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1154034759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SE 151ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332916",
            "telephone_number": "971-271-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SE 151ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332916",
            "telephone_number": "971-271-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ENGERS",
        "first_name": "CORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8709062",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "telecarecorp.com",
            "affiliation": "N",
            "endpointDescription": "Residential treatment",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "805 SE 151st Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972332916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leah Rae Van Dusen, CADC-R
• Rachel Elena Van Dusen, M.D.
• Nathan Thomas Van Dyk, M.D.
• Aubrey Ann Van Dyke-Ginell, PA-C
• Alan E Van Dyke, RPH
• Nathalie Van Havre, M.D.
• Genevieve A Van Herk, PHARM.D.
• Jonathan Reuel Van Horn, PAC
• Laura Elizabeth Van Houten, LAURA VAN HOUTEN, MD
• Erin Victoria Sneddon Van Kleek, LCSW

• 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 Dec 29, 2022; 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.