Active NPI
Concinnity Therapy LLC
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1801668355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- CONCINNITY THERAPY LLC
- Practice address
- 3407 S Corbett Ave # 7
Portland, OR 97239-4621 - Phone
- (503) 208-4687
- NPI assigned
- Oct 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Andal Neri, JD, MA
- Title
- Owner/Managing Member
- Phone
- (503) 208-4687
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3407 S Corbett Ave # 7
Portland, OR 97239-4621
Mailing address
3407 S Corbett Ave # 7
Portland, OR 97239-4621
Phone (503) 208-4687
National Provider Directory
National Provider DirectoryLocations
3407 S Corbett Ave
#7
Portland, OR 97239
Phone (503) 208-4687
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1801668355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3407 S CORBETT AVE # 7",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394621",
"telephone_number": "503-208-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 S CORBETT AVE # 7",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394621",
"telephone_number": "503-208-4687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCINNITY THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-27",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "NERI",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "ANDAL",
"authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
"authorized_official_telephone_number": "503-208-4687",
"authorized_official_credential": "JD, MA"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"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 Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.