Nicole Corbin Lawson, QMHP,LPC,CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1230 Issued in OR

Practice address

2415 SE 43Rd Ave
Suite 200
Portland, OR 97206-1600

Phone

(503) 872-0151

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Nicole Corbin Other name

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1942223367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8459",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078459",
            "telephone_number": "503-957-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SE 43RD AVE",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061600",
            "telephone_number": "503-872-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN LAWSON",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "QMHP,LPC,CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "02-11-23",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CORBIN",
            "prefix": "MS.",
            "credential": "QMHP,LPC,CADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Corbett-Furgal
• Jana Marie Corbett, B.SC., M.SC., PH.D.
• Koren Olivia Corbett, CNM
• Kristin Corbett, RPH
• Tiffany Corbett
• Carmen Tara Corbin II, QMHA, CADC I
• Crystal Corbin, B.S
• Maren Corbly, LPC
• Alexandra Hogan Corcoran
• Andrew Corcoran, M.D.

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.