Organization Active NPI

Kallie Cothern LLC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1508716275
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KALLIE COTHERN LLC
Practice address
7619 N Albina Ave
Portland, OR 97217-1307
Phone
(503) 662-8989
NPI assigned
Feb 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Kallie CothernNPI 1841726270
Title
Provider/Owner
Phone
(503) 662-8989

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 Primary

Addresses

Primary practice location

7619 N Albina Ave
Portland, OR 97217-1307

Mailing address

7619 N Albina Ave
Portland, OR 97217-1307

National Provider Directory

National Provider Directory

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": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1508716275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 N ALBINA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 N ALBINA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171307",
            "telephone_number": "503-662-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALLIE COTHERN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-01",
        "status": "A",
        "authorized_official_last_name": "COTHERN",
        "authorized_official_first_name": "KALLIE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "503-662-8989"
    },
    "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 Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.