Individual provider Active NPI

James Boyda

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1003588005
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C10570 Issued in OR
Practice address
1825 NE Broadway St Ste G
Portland, OR 97232-4433
Phone
(971) 460-1676
Fax
(503) 902-5440
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C10570 OR Primary
Mental Health Counselor 101YM0800X LPC.0019970 CO

Addresses

Primary practice location

1825 NE Broadway St Ste G
Portland, OR 97232-4433

Mailing address

1825 NE Broadway St Ste G
Portland, OR 97232-4433
Phone (971) 460-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020001605 OR Practitioner - Mental Health Counselor 3375031602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1551 Pearl St
Eugene, OR 97401-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0019970COMDMental Health Counselor
C10570ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Counseling & Consultation, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Riverwood Psychotherapy LLC Professional Current Accepting new patients

Locations

1551 Pearl St
Eugene, OR 97401
Phone (541) 517-9733

1500 NE Irving St
Ste 440
Portland, OR 97232
Phone (541) 517-9733

6018 SE Stark St
Portland, OR 97215
Phone (503) 208-6667

3439 SE Hawthorne Blvd
Portland, OR 97214
Phone (503) 270-3086

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1003588005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NE BROADWAY ST STE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972324433",
            "telephone_number": "971-460-1676",
            "fax_number": "503-902-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NE BROADWAY ST STE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972324433",
            "telephone_number": "971-460-1676",
            "fax_number": "503-902-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYDA",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C10570",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0019970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.