Active NPI
Kerry Lee Powers, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1215258496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4139
- Practice address
- 1210 SE Oak St
Suite 5
Portland, OR 97214-1427 - Phone
- (971) 219-4067
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C4139 | OR | Primary |
Addresses
Primary practice location
1210 SE Oak St
Suite 5
Portland, OR 97214-1427
Mailing address
5535 NE 38TH Ave
Unit B
Portland, OR 97211-7951
Phone (971) 219-4067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 29, 2024 through Jan 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4139 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1215258496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 NE 38TH AVE",
"address_2": "UNIT B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972117951",
"telephone_number": "971-219-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 SE OAK ST",
"address_2": "SUITE 5",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141427",
"telephone_number": "971-219-4067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "KERRY",
"middle_name": "LEE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4139",
"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 Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.