Individual provider Active NPI

Palma Azucena Corral Sotelo, PCA

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1518647965
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
R8413 Issued in OR
Practice address
2232 NW Everett St Apt 21
Portland, OR 97210-5516
Phone
(503) 310-6276
NPI assigned
Jul 20, 2023
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X R8413 OR Primary

Addresses

Primary practice location

2232 NW Everett St Apt 21
Portland, OR 97210-5516

Mailing address

2232 NW Everett St Apt 21
Portland, OR 97210-5516
Phone (503) 310-6276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R8413ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolving Self Integral Counseling, LLC CurrentSince Jul 31, 2023 Accepting new patients

Organizations & group practices 1

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1518647965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 NW EVERETT ST APT 21",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105516",
            "telephone_number": "503-310-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 NW EVERETT ST APT 21",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105516",
            "telephone_number": "503-310-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRAL SOTELO",
        "first_name": "PALMA",
        "middle_name": "AZUCENA",
        "credential": "PCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R8413",
            "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 Jul 17, 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.