Individual provider Active NPI

Tanya Corkum, LPC ASSOCIATE

  • Counseling Psychologist
  • Portland, OR
National Provider Identifier
1306770078
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
R9253 Issued in OR
Practice address
2100 NW 119TH Ave
Portland, OR 97229-4704
Phone
(858) 504-0875
NPI assigned
Jun 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X R9253 OR Primary

Addresses

Primary practice location

2100 NW 119TH Ave
Portland, OR 97229-4704

Mailing address

15060 NW Central Dr Apt 1101
Portland, OR 97229-0971
Phone (858) 504-0875

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

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1306770078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15060 NW CENTRAL DR APT 1101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972290971",
            "telephone_number": "858-504-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NW 119TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294704",
            "telephone_number": "858-504-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKUM",
        "first_name": "TANYA",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "R9253",
            "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 Jun 9, 2026; 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.