Organization Active NPI

D M Cottrell LLC

  • Mental Health Counselor
  • Gresham, OR
National Provider Identifier
1356987465
Registry record updated Nov 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
D M COTTRELL LLC
Practice address
320 N Main Ave Ste 201B
Gresham, OR 97030-7242
Phone
(503) 856-5058
NPI assigned
Nov 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2019

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

Authorized official

Name
Dawn Cottrell, MA, LPC
Title
Licensed Professional Counselor
Phone
(503) 856-5058

Specialties & licenses 1

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

Addresses

Primary practice location

320 N Main Ave Ste 201B
Gresham, OR 97030-7242

Mailing address

320 N Main Ave Ste 201B
Gresham, OR 97030-7242
Phone (503) 856-5058

National Provider Directory

National Provider Directory

Locations

320 N Main Ave
Ste 201B
Gresham, OR 97030
Phone (503) 856-5058

NPI Registry JSON

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

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574553600000",
    "number": "1356987465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MAIN AVE STE 201B",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307242",
            "telephone_number": "503-856-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN AVE STE 201B",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307242",
            "telephone_number": "503-856-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D M COTTRELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-24",
        "last_updated": "2019-11-24",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "503-856-5058",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.