IAN BILLINGS KUNIHOLM
NPI 1093209033
Counselor in Portland, OR

Q: What is Ian Kuniholm's NPI number?

The NPI number for Ian Kuniholm is 1093209033. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Q: What is Ian Kuniholm's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Kuniholm was last updated on July 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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).

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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

Phone(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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3415 SE POWELL BLVD, Portland, OR 97202

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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.

KELLEY S. FELLMAN MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)