Gina Nicole Patrick, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C8405 Issued in OR

Practice address

201 B Ave Ste 265
Lake Oswego, OR 97034-3238

Phone

(503) 908-3751

NPI assigned

Jan 10, 2022

Last updated

Feb 14, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PNW Integrative Counseling, LLC

  • Mental Health Counselor
  • Lake Oswego, OR
  • NPI 1699627224
  NPD Authorized official

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771027200000",
    "number": "1407517634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 B AVE STE 265",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343238",
            "telephone_number": "503-908-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 B AVE STE 265",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343238",
            "telephone_number": "503-908-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "GINA",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C8405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Montgomery Parsons
• Hanna Passwaters, RN
• Tejash B Patel
• Dominic Patrick Patillo, MD
• Patrick W Morrissey DDS LLC (Boones Ferry Dental)
• Sylvia Rose Payne, DPT
• Peacehealth Networks on Demand, LLC (ZoomCare-Lake Oswego)
• Haley Pearson
• Holly Hamilton Peartree, SLP
• Maxine Pellot

• Mental Health Counselor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.