Gniewosz Paul Kolba, M.A., QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

111 SW 5TH Ave
Suite 3150
Portland, OR 97204-3604

Phone

(971) 533-7387

NPI assigned

Jul 25, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Paul Kolba Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1649558677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW 5TH AVE",
            "address_2": "SUITE 3150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043604",
            "telephone_number": "503-765-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW 5TH AVE",
            "address_2": "SUITE 3150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043604",
            "telephone_number": "971-533-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBA",
        "first_name": "GNIEWOSZ",
        "middle_name": "PAUL",
        "credential": "M.A., QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "KOLBA",
            "credential": "M.A., QMHP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alistair L Kok, DDS
• Naoko Koki, O.T.
• Marcella Kokinda, CADCI
• Cordelia Kolar, QMHA
• Julianne Bartlett Kolb
• Philip Kolba, MA LPC NCC
• Karl James Kolbeck, PT
• Kenneth John Kolbeck, MD, PHD
• Sasha Laurel Kolbeck, MPT
• Richard Kolbell, PH.D., ABPP

• Mental Health Counselor in Portland, OR
• Providers in Portland, 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 Mar 25, 2015; 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.