Individual provider Active NPI

Erin M Berk, LPC, ATR

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1508921941
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3705 Issued in OR
Practice address
1016 SE 12TH Ave
Portland, OR 97214-2513
Phone
(971) 222-9290
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 05-066 NC
Professional Counselor 101YP2500X C3705 OR Primary

Addresses

Primary practice location

1016 SE 12TH Ave
Portland, OR 97214-2513

Mailing address

1001 SE 50TH Ave
Portland, OR 97215-2603
Phone (971) 222-9290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128003356 OR Practitioner - Mental Health Counselor 3577092006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4224 NE Halsey St
Suite 335
Portland, OR 97213-1568
Phone (503) 992-6616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05-066NCMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Professional CurrentSince Dec 22, 2024 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince Dec 22, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

4224 NE Halsey St
Ste 335
Portland, OR 97213
Phone (503) 922-6616

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1508921941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152603",
            "telephone_number": "971-222-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142513",
            "telephone_number": "971-222-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "ERIN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NC",
            "license": "05-066",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.