Individual provider Active NPI

Kirah N Doerr, PCA, MHCA

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1972377810
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R9165 Issued in OR
Practice address
1235 SE Division St Ste 201B
Portland, OR 97202-1099
Phone
(503) 784-2377
NPI assigned
Nov 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R9165 OR Primary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X MHCA.MC.70020835 WA

Addresses

Primary practice location

1235 SE Division St Ste 201B
Portland, OR 97202-1099

Mailing address

969 S Grayling St
Rockaway Beach, OR 97136-9721
Phone (541) 609-8822

Other practice location 1

1110 SE Alder St Ste 301
Portland, OR 97214-2400
Phone (207) 316-2609

Other practice location 2

906 Main Ave
Tillamook, OR 97141-3816
Phone (503) 842-8201

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

LicenseStateTypeSpecialty
R9165ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tillamook Family Counseling Center CurrentSince Nov 1, 2023 Accepting new patients
Tillamook Family Counseling Center PastSince Nov 1, 2023 Accepting new patients
Tever Nickerson Counseling, LLC Counselor Past Accepting new patients

Locations

906 Main Ave
Tillamook, OR 97141
Phone (503) 815-5437

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tfcc/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1972377810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 S GRAYLING ST",
            "city": "ROCKAWAY BEACH",
            "state": "OR",
            "postal_code": "971369721",
            "telephone_number": "541-609-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 201B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021099",
            "telephone_number": "503-784-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 SE Alder St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972142400",
            "country_code": "US",
            "telephone_number": "207-316-2609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Tillamook",
            "state": "OR",
            "postal_code": "971413816",
            "country_code": "US",
            "telephone_number": "503-842-8201",
            "fax_number": "503-815-1870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOERR",
        "first_name": "KIRAH",
        "middle_name": "N",
        "credential": "PCA, MHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9165",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MHCA.MC.70020835",
            "primary": false
        }
    ],
    "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 Jul 11, 2026; 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.