Organization Active NPI

Kari Gjerde LLC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1346793593
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4163 Issued in OR
Legal business name
KARI GJERDE LLC
Practice address
2225 NE MLK Jr Blvd
#207
Portland, OR 97212-3727
Phone
(503) 388-8649
NPI assigned
Jul 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Authorized official

Name
Kari Gjerde, LPCNPI 1790199156
Title
Mental Health Clinician
Phone
(503) 388-8649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C4163 OR Primary

Addresses

Primary practice location

2225 NE MLK Jr Blvd
#207
Portland, OR 97212-3727

Mailing address

2225 NE MLK Jr Blvd # 208
Portland, OR 97212-3727
Phone (503) 388-8649

National Provider Directory

National Provider Directory

Locations

2225 NE Mlk Jr Blvd
#207
Portland, OR 97212
Phone (503) 388-8649

2225 NE Mlk Jr Blvd
#208
Portland, OR 97212
Phone (503) 388-8649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1346793593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 NE MLK JR BLVD # 208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123727",
            "telephone_number": "503-388-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 NE MLK JR BLVD",
            "address_2": "#207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123727",
            "telephone_number": "503-388-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARI GJERDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-24",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "GJERDE",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "503-388-8649",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4163",
            "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 Dec 13, 2018; 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.