Active NPIIndividual provider

Carrie M Ackerman, CADC I, CRM

Counselor, Addiction (Substance Use Disorder) in Portland, Oregon

NPI Number1164133260
Practice location
2318 NE Mlk Blvd, Portland, OR 97212-3715
Fax
—
Last updated
May 5, 2023

Carrie Marie Ackerman is a Counselor, Addiction (Substance Use Disorder) based in Portland, OR. Carrie Marie Ackerman practices in Portland, OR and has the professional credentials of CADC I, CRM. The NPI Number for Carrie Marie Ackerman is 1164133260 and holds a License No. 23-QMHA-R-3810 (OR). The current practice location address for Carrie Marie Ackerman is 2318 NE Mlk Blvd, Portland, OR 97212-3715 and can be reached out via phone at 503-335-8611.

Provider Profile Details

NPI Number
1164133260
Provider Name
Carrie Marie Ackerman
Credential
CADC I, CRM
Provider Entity Type
Individual
Gender
Female
Address
2318 NE Mlk Blvd, Portland, OR 97212-3715
Phone Number
503-335-8611
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
December 9, 2022
Last Update Date
May 5, 2023
Certification Date
May 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2318 NE Mlk Blvd
Portland, OR 97212-3715
State
Oregon
Zip
97212-3715
Phone Number
503-335-8611
Portland, OR 97212Get directions →

Provider Business Mailing Address Details

Address
2318 NE Mlk Blvd
Portland, OR 97212-3715
City
Portland
State
OR
Zip
97212-3715

License Information

License Number (1)
23-QMHA-R-3810
License State (1)
OR
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
11-09-01
License State (2)
OR
Taxonomy (2)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License State (3)
OR
Taxonomy (3)
Peer Specialist · 175T00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carrie M Ackerman, CADC I, CRM?

The NPI number of Carrie M Ackerman, CADC I, CRM is 1164133260. It was assigned on December 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Carrie M Ackerman, CADC I, CRM?

Carrie M Ackerman, CADC I, CRM is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in OR under license number 23-QMHA-R-3810.

Where does Carrie M Ackerman, CADC I, CRM practice?

The practice location is 2318 NE Mlk Blvd, Portland, OR 97212-3715. The office can be reached at 503-335-8611 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164133260 directly on the NPPES registry website.

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