Kaitlin Barber

Individual provider Active NPI Professional Counselor · Portland, OR

NPI 1902554728 · NPPES record last updated Mar 10, 2022

Key facts

NPI
1902554728
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
6975 SW Sandburg St
Portland, OR 97223-8073
Phone
(814) 243-0414
NPI assigned
Mar 10, 2022
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

6975 SW Sandburg St
Portland, OR 97223-8073

Mailing address

6975 SW Sandburg St
Portland, OR 97223-8073
Phone (814) 243-0414

Other identifiers

IdentifierTypeStateIssuer
99999999MedicaidOR

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL www.newspringscounseling.org Direct

Other providers in Portland, OR

All providers in Portland, OR · Professional Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.