CARISSA BURKETT
NPI 1497204812
Counselor - Mental Health in Portland, OR

Active since September 27, 2016
3530 SE 136TH AVE APT 5, PORTLAND, OR 97236(503) 719-4535(503) 719-4537 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Burkett NPPES

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

CARISSA BURKETT (NPI 1497204812) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1497204812
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARISSA BURKETT
Location Address3530 SE 136TH AVE APT 5Portland, OR 97236-2958
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (260) 224-3354
Fax(503) 719-4537
Sole ProprietorNo
Enumeration DateSeptember 27, 2016
NPI 1497204812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3530 SE 136TH AVE APT 5, Portland, OR 97236

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
3530 SE 136TH AVE APT 5
PORTLAND, OR 97236
Social Worker (Clinical)
3530 SE 136TH AVE APT 5
PORTLAND, OR 97236
Social Worker (Clinical)
3530 SE 136TH AVE APT 5
PORTLAND, OR 97236
Counselor (Mental Health)
3530 SE 136TH AVE APT 5
PORTLAND, OR 97236
Counselor (Mental Health)
3530 SE 136TH AVE APT 5
PORTLAND, OR 97236
Counselor (Mental Health)
3530 SE 136TH AVE APT 5
PORTLAND, OR 97236
Social Worker (Clinical)
3530 SE 136TH AVE APT 5
PORTLAND, OR 97236
Counselor (Mental Health)
3530 SE 136TH AVE APT 5
PORTLAND, OR 97236

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 Carissa Burkett's NPI number?

The NPI number for Carissa Burkett is 1497204812. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Carissa Burkett located?

Carissa Burkett practices at 3530 SE 136th Ave Apt 5, Portland, OR 97236. The listed phone number is (503) 719-4535.

What is Carissa Burkett'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 Carissa Burkett was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.