Regina Theresa Burck , QMHP

Counselor - Mental Health • Gresham, OR

Active NPI 1225656366 Individual Practitioner Female Practitioner

Practice location in NPPES

21440 Se Stark St
Gresham, OR 970302024

Call 9717034623 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Regina Burck is listed in NPPES under Counselor - Mental Health.
NPI assigned on July 6, 2020; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

21440 Se Stark St

Gresham, OR 970302024

Telephone 9717034623

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

4d Mental Health Services Facility NPI 1336997188

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Counselor - Mental Health: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

179 active clinicians are listed under Counselor - Mental Health with a practice address in Gresham, OR (15,201 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0.6% of these 179 clinicians have the CMS telehealth indicator.

2.2% of these 179 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-23

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES OR 24-QMHPC-001573

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

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 number reported to NPPES: OR 24-QMHPC-001573)

📍

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

📍

Practice Location (Initial Record) July 06, 2020

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

📍

Business Mailing Address (Initial Record) July 06, 2020

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

👤

Provider Name / Credentials (Initial Record) 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.

No reviews have been published yet. Leave a review.

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

Update or Correct Profile

Mailing Address

11010 Se Division St Ste 200

Portland, OR 972666400

Phone: 9717034623

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.