KEVIN R KOSIK CADC-R ,QMHA-R, CHW
NPI 1629820071
Community Health Worker in Portland, OR

Active since April 01, 2024
555 SE MARTIN LUTHER KING JR BLVD STE 3057, PORTLAND, OR 97214(503) 470-9844(503) 715-4175 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 19, 2025, Aug 5, 2025, Mar 19, 2025 and 3 more (6 updates tracked since 2024).

  • Individual
  • Male
  • Community Health Worker

About KEVIN KOSIK

This page provides the complete NPI Profile along with additional information for Kevin Kosik, a provider established in Portland, Oregon with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1629820071 assigned on April 2024. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1629820071 Verify this NPI
Provider Name
KEVIN R KOSIK CADC-R ,QMHA-R, CHW
Gender
Male
Entity Type
Individual
Location Address
555 SE MARTIN LUTHER KING JR BLVD STE 3057 PORTLAND, OR 97214
Location Phone
(503) 470-9844
Location Fax
(503) 715-4175
Mailing Address
3374 SE HOLGATE BLVD PORTLAND, OR 97202
Mailing Phone
(503) 470-9844
Mailing Fax
(503) 447-2076
Is Sole Proprietor?
Yes
Enumeration Date
04-01-2024
Last Update Date
11-19-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
Taxonomy Description
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

T-24-3714 (OR)
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

QMHA-R-5143 (OR)

Reviews for KEVIN R KOSIK CADC-R ,QMHA-R, CHW

  • 5 out of 5 stars - Review by Timothy ***** on April 14, 2024

    He is the most unorthodox counselor I have ever met with and I can't help but think he is going to save lives because he reaches on a level that is uncommon.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629820071, enumerated as an "individual" on April 01, 2024.

The provider is located at 555 SE MARTIN LUTHER KING JR BLVD STE 3057 PORTLAND, OR 97214 and the phone number is (503) 470-9844.

Community Health Worker with taxonomy code 172V00000X.