Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225656366 Individual Practitioner Female Practitioner

Regina Theresa Burck , QMHP

Counselor - Mental Health • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Regina Burck, QMHP is a registered healthcare professional specializing in Counselor - Mental Health in Gresham, OR. Practice services are available at 21440 SE STARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21440 Se Stark St

Gresham, OR 970302024

Telephone 9717034623
Associated Practice Facility / Clinic
🏢 4d Mental Health Services Facility NPI 1336997188

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: 2025-07-23
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License OR 24-QMHPC-001573

Definition to come...

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1013896323
Jordin Stepan

Counselor - Addiction (Substance Use Disorder)

NPI 1114889979
Donavan Salsbury , CRM

Peer Specialist

NPI 1164319208
NPI 1265322093

CRM, CADCR

Jarren Anderson

Counselor - Addiction (Substance Use Disorder)

NPI 1316774946
NPI 1316829823

CADCR

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location July 23, 2025

Registered at 21440 SE STARK ST, GRESHAM, OR 970302024 (Tel: 9717034623)

📍
Updated Business Mailing Address July 23, 2025

Registered at 11010 SE DIVISION ST STE 200, PORTLAND, OR 972666400 (Tel: 9717034623)

👤
Provider Name / Credentials Updated July 23, 2025

Recorded as REGINA BURCK, QMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2025

Counselor (License #24-QMHPC-001573 in OR)

📍
Updated Practice Location October 20, 2023

Registered at 4585 SW 185TH AVE, ALOHA, OR 970781557 (Tel: 5035919280)

📍
Updated Business Mailing Address October 20, 2023

Registered at 4585 SW 185TH AVE, ALOHA, OR 970781557 (Tel: 5035919280)

NPI Profile Active July 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2020

Registered at 4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 841243550 (Tel: 8889494864)

📍
Updated Business Mailing Address July 06, 2020

Registered at 4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 841243550 (Tel: 8889494864)

👤
Provider Name / Credentials Updated July 06, 2020

Recorded as REGINA BURCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2020

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration July 06, 2020

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: 1225656366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2020
Last Update: July 23, 2025
Sole Proprietor: No

Mailing Address

11010 Se Division St Ste 200

Portland, OR 972666400

Phone: 9717034623

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.