NPIMap

Gina Colaneri, LPC, CADC-II

Individual provider Active NPI Mental Health Counselor · Happy Valley, OR

NPI 1669855342 · NPPES record last updated Jun 30, 2015

Key facts

NPI
1669855342
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
C3799 (OR)
Practice address
10822 SE 82ND Ave
Suite K
Happy Valley, OR 97086-7658
Phone
(503) 654-7444
Fax
(503) 654-0392
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

  • Coda, Inc. Substance Abuse Rehabilitation Facility · Portland, OR · NPI 1437213865
    NPD (past) MENTAL HEALTH
  • Coda, Inc. Substance Use Disorder Rehabilitation Clinic/Center · Seaside, OR · NPI 1750912184
    NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C3799ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coda, Inc. Mental Health Past
since Aug 13, 2019		 Accepting new patients
Coda, Inc. Past
since Feb 9, 2020		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3799 OR Yes

Addresses

Primary practice location

10822 SE 82ND Ave
Suite K
Happy Valley, OR 97086-7658

Mailing address

1027 E Burnside St
Portland, OR 97214-1328
Phone (503) 239-8400

Other providers in Happy Valley, OR

All providers in Happy Valley, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.