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REGINA THERESA BURCK QMHP
NPI 1225656366
Counselor - Mental Health in Gresham, OR

Active since July 06, 2020
21440 SE STARK ST, GRESHAM, OR 97030(971) 703-4623 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2023, Jul 6, 2020 (2 updates tracked since 2020).

About Regina Theresa Burck Qmhp NPPES

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

REGINA THERESA BURCK QMHP (NPI 1225656366) is an individual mental health provider in Gresham, Oregon, licensed in Oregon (24-QMHPC-001573) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1225656366
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREGINA THERESA BURCKCredential: QMHP
Location Address21440 SE STARK STGresham, OR 97030-2024
Mailing Address11010 Se Division St Ste 200Portland, OR 97266-6400 · (971) 703-4623
Phone(971) 703-4623
Sole ProprietorNo
Enumeration DateJuly 6, 2020
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1225656366 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 · 24-QMHPC-001573
21440 SE STARK ST, Gresham, OR 97030
Open in Google Maps ↗

Other Providers at the Same Location NPPES 12

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

REBECCA LYNN PATTERSON CRM
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
EMMA SORNSON
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 610-5722
DONAVAN J SALSBURY CRM
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
JOSEY RAE ANTHONY-MOORE CRM,CADC-R
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
MR. JARREN JAMES TROY ANDERSON
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
BRITTANY LYONS CADC-R, PWS
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 610-7363
ANTHONY LOUIE GARCIA CRM, CADC-R
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623
JOSHUA J VANN CADC-1
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Multnomah County (971) 703-4623

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 Regina Burck's NPI number?

The NPI number for Regina Burck is 1225656366. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Regina Burck located?

Regina Burck practices at 21440 SE Stark St, Gresham, OR 97030. The listed phone number is (971) 703-4623.

What is Regina Burck'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 Regina Burck was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.