Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kerrins Thomas Conroy III, NCC, LPC

Individual provider Counselor · NPI 1073184784

Mr. Kerrins Thomas Conroy III, NCC, LPC is a Counselor in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1110 SE Alder St Ste 301
Portland, OR 97214-2400
Phone: (503) 530-6316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1073184784
Entity typeIndividual (Type 1)
GenderMale
Credentials NCC , LPC
Sole proprietorNo
NPI enumeratedJuly 3, 2021
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

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