Individual provider Active NPI

Audrianna Joy Gurr, MS

  • Counselor
  • Portland, OR
National Provider Identifier
1326378126
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C2599 Issued in OR
Practice address
1722 NW Raleigh St SPC 408
Mailbox 212
Portland, OR 97209-1754
Phone
(503) 475-4005
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C2599 OR Primary
Mental Health Counselor 101YM0800X C2599 OR
Professional Counselor 101YP2500X C2599 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 09-06-17 OR

Addresses

Primary practice location

1722 NW Raleigh St SPC 408
Mailbox 212
Portland, OR 97209-1754

Mailing address

1722 NW Raleigh St SPC 408
Mailbox 212
Portland, OR 97209-1754
Phone (503) 475-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 4, 2024 through Mar 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C2599ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1326378126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 NW RALEIGH ST SPC 408",
            "address_2": "MAILBOX 212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091754",
            "telephone_number": "503-475-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 NW RALEIGH ST SPC 408",
            "address_2": "MAILBOX 212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091754",
            "telephone_number": "503-475-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURR",
        "first_name": "AUDRIANNA",
        "middle_name": "JOY",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C2599",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2599",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2599",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "09-06-17",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.