Carrie M Ackerman, CADC I, CRM
Counselor, Addiction (Substance Use Disorder) in Portland, Oregon
1164133260- Practice location
- 2318 NE Mlk Blvd, Portland, OR 97212-3715
- Phone
- 503-335-8611
- Fax
- —
- Last updated
- May 5, 2023
Carrie M Ackerman, CADC I, CRM is a Counselor, Addiction (Substance Use Disorder) based in Portland, OR. Carrie M Ackerman, CADC I, CRM holds the professional credentials of CADC I, CRM. The NPI number for Carrie M Ackerman, CADC I, CRM is 1164133260 and holds license No. 23-QMHA-R-3810 (OR). The current practice location address is 2318 NE Mlk Blvd, Portland, OR 97212-3715 and the office can be reached by phone at 503-335-8611. The NPI was assigned on December 9, 2022 and the record was last updated in NPPES on May 5, 2023.
●Provider Profile Details
- NPI Number
- 1164133260
- Provider Name
- Carrie Marie Ackerman
- Credential
- CADC I, CRM
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Enumeration Date
- December 9, 2022
- Last Update Date
- May 5, 2023
- Certification Date
- May 5, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2318 NE Mlk Blvd
Portland, OR 97212-3715 - City
- Portland
- State
- Oregon
- ZIP
- 97212-3715
- Country
- US
- Phone Number
- 503-335-8611
✉Business Mailing Address
- Address
- 2318 NE Mlk Blvd
Portland, OR 97212-3715 - City
- Portland
- State
- OR
- ZIP
- 97212-3715
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | No | 23-QMHA-R-3810 | OR |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | Yes | 11-09-01 | OR |
| Peer Specialist | 175T00000X | No | — | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. 23-QMHA-R-3810 (OR).
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 at npiregistry.cms.hhs.gov.