IAN BILLINGS KUNIHOLM
NPI 1093209033
Counselor in Portland, OR

Active since June 21, 2018
3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 234-9591 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2019, Jun 21, 2018 (2 updates tracked since 2018).

About Ian Billings Kuniholm NPPES

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

IAN BILLINGS KUNIHOLM (NPI 1093209033) is an individual counselor in Portland, Oregon and active in the NPI registry since June 2018. He maintains a secondary practice location in Beaverton.

NPPES Registry Identity

NPI1093209033
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameIAN BILLINGS KUNIHOLM
Location Address3415 SE POWELL BLVDPortland, OR 97202
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591
Sole ProprietorNo
Enumeration DateJune 21, 2018
Last NPPES UpdateJuly 22, 20192 updates tracked since enumeration
NPI 1093209033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3415 SE POWELL BLVD, Portland, OR 97202

Secondary Practice Location 1

Location 110700 SW Beaverton Hillsdale Hwy Ste 11Beaverton, OR 97005-3035 · Phone (503) 641-1475

Accepted Insurance

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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Professional)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Mental Health)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Psychologist (Clinical)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Mental Health)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Marriage & Family Therapist
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor (Mental Health)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093209033, enumerated as an "individual" on June 21, 2018.

The provider is located at 3415 SE POWELL BLVD PORTLAND, OR 97202 and the phone number is (503) 234-9591.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.