Nan Cecile Cordy, LICENSE IN PROGRESS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

REGISTERED INTERN Issued in OR

Practice address

211 E. Ellendale Suite #7
Dallas, OR 97338

Phone

(503) 831-5831

Fax

(503) 623-2505

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912116161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 SMITH RD",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973619645",
            "telephone_number": "503-623-6812",
            "fax_number": "503-623-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E. ELLENDALE SUITE #7",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "97338",
            "telephone_number": "503-831-5831",
            "fax_number": "503-623-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDY",
        "first_name": "NAN",
        "middle_name": "CECILE",
        "credential": "LICENSE IN PROGRESS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "REGISTERED INTERN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Allen Cochran, CADC II QMHA
• Phyllis Combs
• Compass Medical Clinic LLC
• Brittany Conklin
• Gabriella Cordy
• Lisa Cossitt
• Brittany Michelle Cote, M.A.
• County of Polk (Polk County Mental Health)
• County of Polk
• Cassi June Ann Crawford

• Mental Health Counselor in Dallas, OR
• Providers in Dallas, 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 Jul 8, 2007; 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.