Active NPI
Barbara M Corkrean, LPC, CADCIII
- Professional Counselor
- Milwaukie, OR
National Provider Identifier
1720399413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3039
- Practice address
- 16239 SE McLoughlin Blvd Ste 208
Milwaukie, OR 97267-4654 - Phone
- (971) 206-4776
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR | ||
| Professional Counselor | 101YP2500X | C3039 | OR | Primary |
Addresses
Primary practice location
16239 SE McLoughlin Blvd Ste 208
Milwaukie, OR 97267-4654
Mailing address
PO Box 82819
Portland, OR 97282-0819
Phone (503) 233-5405
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
| License | State | Type | Specialty |
|---|---|---|---|
| C3039 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1720399413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82819",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972820819",
"telephone_number": "503-233-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16239 SE MCLOUGHLIN BLVD STE 208",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972674654",
"telephone_number": "971-206-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORKREAN",
"first_name": "BARBARA",
"middle_name": "M",
"credential": "LPC, CADCIII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.