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AQUEELAH F BOLDEN-MCCOY PSS
NPI 1639556962
Counselor - Mental Health in Gresham, OR

Active since May 06, 2015
620 NE 2ND ST, GRESHAM, OR 97030(971) 274-3757(503) 912-5740 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 13, 2018, Mar 22, 2018 (2 updates tracked since 2018).

About Aqueelah F Bolden-mccoy Pss NPPES

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

AQUEELAH F BOLDEN-MCCOY PSS (NPI 1639556962) is an individual mental health provider in Gresham, Oregon, licensed in Oregon (THW000002697) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1639556962
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAQUEELAH F BOLDEN-MCCOYCredential: PSS
Location Address620 NE 2ND STGresham, OR 97030
Mailing Address1776 Sw Madison StPortland, OR 97205 · (503) 224-1044 · Fax (503) 621-2235
Phone(971) 274-3757
Fax(503) 912-5740
Sole ProprietorNo
Enumeration DateMay 6, 2015
Last NPPES UpdateApril 13, 20182 updates tracked since enumeration
✔ NPI 1639556962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · THW000002697
Also ListedCounselorTaxonomy 101Y00000X · License CG60487815 (WA)
620 NE 2ND ST, Gresham, OR 97030
Open in Google Maps ↗

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.

KATHY A LITVIN CSWA/QMHP-C
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
MISS ELIZABETH L VALADEZ CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
CHRISTINA H COLLIER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JESSICA A TRAILER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DANIELLE CURTIS CRM-II CADC-I QMHA-R
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
ALBIE M LEMOS CADC-R/CSWA
Social Worker
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JUDITH YADIRA BRACAMONTES QMHA-R
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DUANE W KOWALSKI CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757

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 Aqueelah Bolden-mccoy's NPI number?

The NPI number for Aqueelah Bolden-mccoy is 1639556962. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Aqueelah Bolden-mccoy located?

Aqueelah Bolden-mccoy practices at 620 NE 2nd St, Gresham, OR 97030. The listed phone number is (971) 274-3757.

What is Aqueelah Bolden-mccoy'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 Aqueelah Bolden-mccoy was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.