Rita Kokkoris, PLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C5027 Issued in OR

Practice address

685 NW 5TH St Ste a
Corvallis, OR 97330-6462

Phone

(541) 757-1761

NPI assigned

Nov 6, 2018

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1356819536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 NW 5TH ST STE A",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306462",
            "telephone_number": "541-757-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 NW 5TH ST STE A",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306462",
            "telephone_number": "541-757-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKKORIS",
        "first_name": "RITA",
        "name_prefix": "Ms.",
        "credential": "PLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C5027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14363786",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF LICENSING",
            "identifier": "C5027",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam R Knutson, DO
• Eric H Knutson, O.D.
• Edward Elgin Koen Jr., D.C.
• Elizabeth A Kohler, RPH
• Patty J Koker, LCSW
• Jaden Schaen Kolas, CPHT
• Pamela J Kolbas
• Galena K Kolchugina, M.D.
• Lisa Marie Kolka, IDC
• Rachel Suzanne Kollen

• Counselor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.