Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447485594 Individual Practitioner Female Practitioner

Kristen Peterca , MA, LPC, NCC

Counselor - Mental Health • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Kristen Peterca, MA, LPC, NCC is a registered healthcare professional specializing in Counselor - Mental Health in Gresham, OR. Practice services are available at 1700 NW CIVIC DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 Nw Civic Dr
Suite 310

Gresham, OR 970303770

Telephone 5036668332
Fax 5036698641
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

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License OR C2304

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License OR C2304

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164936 (OR)

Practice Associates & Co-Workers

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

18 Associated Practitioners
NPI 1063761716

Doctor of Psychology (Psy.D.)

Timothy Gazdziak , LPC

Counselor - Mental Health

NPI 1083814677

Licensed Professional Counselor

Colette Deleon , LCSW

Social Worker - Clinical

NPI 1164566113

Licensed Clinical Social Worker

Erin Menczer , LPC, CADC 1

Counselor - Professional

NPI 1245254754

Licensed Professional Counselor, CADC1

Dr. Douglas Hicks , PhD

Psychologist - Clinical

NPI 1245322601

Doctor of Philosophy (Ph.D.)

Rebecca Sauer , LCSW

Social Worker - Clinical

NPI 1255420162

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 14, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2010

Registered at 1700 NW CIVIC DR, SUITE 310, GRESHAM, OR 970303770 (Tel: 5036668332)

📍
Updated Business Mailing Address January 14, 2010

Registered at PO BOX 82819, PORTLAND, OR 972820819 (Tel: 5032335405)

👤
Provider Name / Credentials Updated January 14, 2010

Recorded as KRISTEN PETERCA, MA, LPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2010

Counselor (License #C2304 in OR)

🟢
Initial NPI Registration & Enumeration May 19, 2009

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: 1447485594
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2009
Last Update: January 14, 2010
Sole Proprietor: No

Mailing Address

Po Box 82819

Portland, OR 972820819

Phone: 5032335405

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.