KALLIE COTHERN
NPI 1841726270
Counselor - Mental Health in Portland, OR

Active since May 04, 2017Opted out of Medicare · through Jun 24, 2027
7619 N ALBINA AVE, PORTLAND, OR 97217(503) 662-8989 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 26, 2022, Jun 10, 2021 (2 updates tracked since 2021).

About Kallie Cothern NPPES

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

KALLIE COTHERN (NPI 1841726270) is an individual mental health provider in Portland, Oregon and active in the NPI registry since May 2017. She has opted out of Medicare through June 24, 2027 and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1841726270
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKALLIE COTHERN
Location Address7619 N ALBINA AVEPortland, OR 97217-1307
Mailing Address7619 N Albina AvePortland, OR 97217-1307 · (503) 662-8989
Sole ProprietorNo
Enumeration DateMay 4, 2017
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
NPI 1841726270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7619 N ALBINA AVE, Portland, OR 97217

Secondary Practice Location 1

Location 16647 SE Milwaukie Ave Ste B210Portland, OR 97202-5661 · Phone (503) 662-8989

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kallie Cothern has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 24, 2025 through June 24, 2027.

Opt-Out Effective DateJune 24, 2025
Opt-Out In Effect ThroughJune 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
7619 N ALBINA AVE
PORTLAND, OR 97217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841726270, enumerated as an "individual" on May 04, 2017.

The provider is located at 7619 N ALBINA AVE PORTLAND, OR 97217 and the phone number is (503) 662-8989.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.