Coretta Jaquise Fells, BA, MA, PCRI, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C9649 Issued in OR

Practice address

530 NW 3Rd St Ste C
Newport, OR 97365-3646

Phone

(541) 283-6111

NPI assigned

Nov 5, 2014

Sex

Female

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

Bachelor of Arts, Master of Arts

State licenses

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1265838171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NW 3RD ST STE C",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653646",
            "telephone_number": "541-283-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 3RD ST STE C",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653646",
            "telephone_number": "541-283-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLS",
        "first_name": "CORETTA",
        "middle_name": "JAQUISE",
        "credential": "BA, MA, PCRI, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Newport, OR
• Providers in Newport, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.