Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124712377 Individual Practitioner Male Practitioner

Randall Joseph Burnett

Counselor - Mental Health • Gresham, OR

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Randall Burnett is a registered healthcare professional specializing in Counselor - Mental Health in Gresham, OR. Official NPI practice address is registered at 831 NW COUNCIL DR STE 300.

Practice Location & Contact Primary Location

Practice Address

831 Nw Council Dr Ste 300

Gresham, OR 970303725

Telephone 4600503258
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
181 Specialists

Practicing in Gresham, OR (15536 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-08
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Drake Miyake , MSW

Social Worker

NPI 1013643675

Master of Social Work

Casey Roberts

Social Worker - Clinical

NPI 1033849492
Michelle Doyle

Counselor - Mental Health

NPI 1033947676
Cecilia Baranyk

Counselor - Mental Health

NPI 1073339644
NPI 1114607868
NPI 1164161592

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2023

Registered at 831 NW COUNCIL DR STE 300, GRESHAM, OR 970303725 (Tel: 4600503258)

📍
Updated Business Mailing Address June 08, 2023

Registered at 11035 NE SANDY BLVD, PORTLAND, OR 972202553 (Tel: 5032584200)

👤
Provider Name / Credentials Updated June 08, 2023

Recorded as RANDALL BURNETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2023

Counselor

🟢
Initial NPI Registration & Enumeration June 08, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124712377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2023
Last Update: June 08, 2023
Sole Proprietor: Yes

Mailing Address

11035 Ne Sandy Blvd

Portland, OR 972202553

Phone: 5032584200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.