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KAY M COCKERILL QMHP-C
NPI 1053882829
Counselor - Mental Health in Portland, OR

Active since December 05, 2018
1310 SW 17TH AVE, PORTLAND, OR 97201(503) 231-2641(503) 467-4077 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2025, Jan 5, 2023, Aug 27, 2020 and 3 more (6 updates tracked since 2018).

About Kay M Cockerill Qmhp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAY M COCKERILL QMHP-C (NPI 1053882829) is an individual mental health provider in Portland, Oregon, licensed in Oregon (19-QMHPC-00829) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1053882829
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAY M COCKERILLCredential: QMHP-C
Location Address1310 SW 17TH AVEPortland, OR 97201-2522
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 231-2641
Fax(503) 467-4077
Sole ProprietorNo
Enumeration DateDecember 5, 2018
Last NPPES UpdateJanuary 8, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1053882829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 19-QMHPC-00829
1310 SW 17TH AVE, Portland, OR 97201
Open in Google Maps ↗

Other Identifiers 1

Medicaid500761279OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA M TURQUOISE QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
JOHN S ALAM QMHA-I
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MRS. BRANDY MICHELLE REMPEL CRM
Counselor (Addiction (Substance Use Disorder))
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
AMY A THOMPSON QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MARK JS TRUJILLO CADCR CRM PSS QMHA-I
Peer Specialist
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
CHARLES ANNICH PSS/CRM
Peer Specialist
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
TONYA M JONES CRM/PSS/QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
ASHLEY A COIA QMHP-R
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kay Cockerill's NPI number?

The NPI number for Kay Cockerill is 1053882829. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Where is Kay Cockerill located?

Kay Cockerill practices at 1310 SW 17th Ave, Portland, OR 97201. The listed phone number is (503) 231-2641.

What is Kay Cockerill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kay Cockerill was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.