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MISS COLLEEN MICHELLE CONKLIN
NPI 1235426404
Counselor in Portland, OR

Active since July 07, 2011PECOS Enrolled
83.84/100
CMS Quality Rating
3550 SE WOODWARD ST, PORTLAND, OR 97202(503) 680-3103 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Colleen Michelle Conklin NPPES

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

MISS COLLEEN MICHELLE CONKLIN (NPI 1235426404) is an individual counselor in Portland, Oregon and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235426404
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMISS COLLEEN MICHELLE CONKLIN
Location Address3550 SE WOODWARD STPortland, OR 97202-1552
Mailing Address3550 Se Woodward StPortland, OR 97202-1552 · (503) 680-3103
Phone(503) 680-3103
Sole ProprietorYes
Enumeration DateJuly 7, 2011
✔ NPI 1235426404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3550 SE WOODWARD ST, Portland, OR 97202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Colleen Michelle Conklin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

BRIAN BEEGHLY
Counselor
3550 SE WOODWARD ST
PORTLAND, OR 97202
Multnomah County (503) 680-3103
MR. JONATHAN CLAYTON PLEASANT
Counselor
3550 SE WOODWARD ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
MR. SAMUEL T COOPER
Social Worker
3550 SE WOODWARD ST
PORTLAND, OR 97202
Multnomah County (503) 234-7532
MIRANDA POWELL LCSW
Social Worker (Clinical)
3550 SE WOODWARD ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
JANELLE MARIE VICK
Counselor
3550 SE WOODWARD ST
PORTLAND, OR 97202
Multnomah County (503) 680-3103
MR. GREGORY BRENT HANSEN MA
Counselor (Mental Health)
3550 SE WOODWARD ST
PORTLAND, OR 97202
Multnomah County (503) 813-7702
MS. LEAH MICHELLE STRICKLAND BA
Social Worker
3550 SE WOODWARD ST
PORTLAND, OR 97202
Multnomah County (503) 234-7532
MRS. NICOLE S RUSSELL BSW
Social Worker (Clinical)
3550 SE WOODWARD ST
PORTLAND, OR 97202
Multnomah County (503) 813-7757

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 Colleen Conklin's NPI number?

The NPI number for Colleen Conklin is 1235426404. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Colleen Conklin located?

Colleen Conklin practices at 3550 SE Woodward St, Portland, OR 97202. The listed phone number is (503) 680-3103.

What is Colleen Conklin's specialty?

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

Is Colleen Conklin enrolled in Medicare?

Yes. Colleen Conklin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Conklin was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.