KORTNEY KAYLA ROSE COOLIDGE
NPI 1063143014
Counselor - Mental Health in North Bend, OR

Active since June 21, 2022
1592 MONROE ST, NORTH BEND, OR 97459(541) 756-2048(541) 756-2058 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kortney Kayla Rose Coolidge NPPES

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

KORTNEY KAYLA ROSE COOLIDGE (NPI 1063143014) is an individual mental health provider in North Bend, Oregon and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1063143014
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKORTNEY KAYLA ROSE COOLIDGE
Location Address1592 MONROE STNorth Bend, OR 97459-3657
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Fax(541) 756-2058
Sole ProprietorNo
Enumeration DateJune 21, 2022
Last NPPES UpdateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
NPI 1063143014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1592 MONROE ST, North Bend, OR 97459

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.

Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Peer Specialist
1592 MONROE ST
NORTH BEND, OR 97459
Registered Nurse (Psychiatric/Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459

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 Kortney Coolidge's NPI number?

The NPI number for Kortney Coolidge is 1063143014. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Kortney Coolidge located?

Kortney Coolidge practices at 1592 Monroe St, North Bend, OR 97459. The listed phone number is (541) 756-2048.

What is Kortney Coolidge'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 Kortney Coolidge was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.