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KATRINA YOUNG CADC-R, QMHA, CRM
NPI 1649784067
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since November 21, 2017
4212 SE DIVISION ST STE 100, PORTLAND, OR 97206(503) 238-0705(503) 236-7166 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2022, Jan 22, 2020, Nov 21, 2017 (3 updates tracked since 2017).

About Katrina Young Cadc-r, Qmha, Crm NPPES

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

KATRINA YOUNG CADC-R, QMHA, CRM (NPI 1649784067) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1649784067
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKATRINA YOUNGCredential: CADC-R, QMHA, CRM
Location Address4212 SE DIVISION ST STE 100Portland, OR 97206-1680
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 238-0705
Fax(503) 236-7166
Sole ProprietorNo
Enumeration DateNovember 21, 2017
Last NPPES UpdateDecember 22, 20223 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1649784067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X · License 17-CRM-184 (OR)
4212 SE DIVISION ST STE 100, Portland, OR 97206
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Other Names 1

Former Name (1)Katrina Careen Miracle

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.

DAVID CHRISTIAN RAUENZAHN
Peer Specialist
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 963-2575
AIRRECA STORM MARIE MATTHEWS
Case Manager/Care Coordinator
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
MEGHAN BERNADETTE THORNBURG
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
PAUL GALVIN
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
ALLISON D LEA LCSW
Social Worker (Clinical)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
DANIEL STECKLER MSW, CADC I, CRM
Social Worker (Clinical)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
CAITLYN STEWART
Counselor (Professional)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
VICTORIA DANIELLE RIBBECK
Counselor (Addiction (Substance Use Disorder))
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705

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 Katrina Young's NPI number?

The NPI number for Katrina Young is 1649784067. It was assigned to this individual provider in the NPPES registry on November 21, 2017. The provider is also known as Katrina Careen Miracle.

Where is Katrina Young located?

Katrina Young practices at 4212 SE Division St Ste 100, Portland, OR 97206. The listed phone number is (503) 238-0705.

What is Katrina Young's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Katrina Young was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.