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Active NPI 1518022482 Individual Practitioner Female Practitioner

Marina Badcock , LPC, NCC

Counselor - Professional • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Marina Badcock, LPC, NCC is a registered healthcare professional specializing in Counselor - Professional 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 5036668832
Fax 5036698641
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
35 Specialists

Practicing in Gresham, OR (2601 Statewide)

Telehealth Adoption Rate
2.9% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C2444

Definition to come...

Practice Associates & Co-Workers

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

39 Associated Practitioners
Chelsea Trujillo , LCSW

Social Worker - Clinical

NPI 1013376060

Licensed Clinical Social Worker

Sonny Snyder , QMHP-R

Counselor - Professional

NPI 1013771344

QMHPR

NPI 1063761716

Doctor of Psychology (Psy.D.)

Lindsey Romo , CSWA

Social Worker - Clinical

NPI 1083492292
Timothy Gazdziak , LPC

Counselor - Mental Health

NPI 1083814677

Licensed Professional Counselor

Shayna Carter , MA

Counselor - Professional

NPI 1114172285

Master of Arts

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2012

Registered at 1700 NW CIVIC DR, SUITE 310, GRESHAM, OR 970303770 (Tel: 5036668832)

📍
Updated Business Mailing Address December 19, 2012

Registered at 4805 SE YAMHILL ST, PORTLAND, OR 972152560 (Tel: 5033196797)

👤
Provider Name / Credentials Updated December 19, 2012

Recorded as MARINA BADCOCK, LPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2012

Counselor (License #C2444 in OR)

🟢
Initial NPI Registration & Enumeration December 22, 2006

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: 1518022482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2006
Last Update: December 19, 2012
Sole Proprietor: Yes

Mailing Address

4805 Se Yamhill St

Portland, OR 972152560

Phone: 5033196797

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.