Individual provider Active NPI

James Brewster Whalen, MA, LPC

  • Professional Counselor
  • Hillsboro, OR
National Provider Identifier
1013526185
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C8765 Issued in OR
Practice address
9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844
Phone
(541) 818-0009
NPI assigned
Jul 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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
Professional Counselor 101YP2500X C8765 OR Primary

Addresses

Primary practice location

9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844

Mailing address

1705 Centennial Blvd Ste 2
Springfield, OR 97477-3320

Other identifiers 1

IdentifierTypeStateIssuer
500800759MedicaidOR

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
I20260407000149 OR Practitioner - Mental Health Counselor 8123593290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Directions LLCGroup PAC ID 5395271316, 9 clinicians

Practice addresses (Care Compare)

9620 NE Tanasbourne Dr
Suite 300 49
Hillsboro, OR 97124-7843
Phone (541) 818-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C8765ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Directions, LLC Professional CurrentSince Apr 17, 2022 Accepting new patients
Oregon Directions, LLC Mental Health CurrentSince Apr 17, 2022 Accepting new patients

Locations

9620 NE Tanasbourne Dr
Ste 30049
Hillsboro, OR 97124
Phone (760) 822-2768

1705 Centennial Blvd
Ste 2
Springfield, OR 97477
Phone (970) 962-4819

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1013526185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 CENTENNIAL BLVD STE 2",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 NE TANASBOURNE DR STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247844",
            "telephone_number": "541-818-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "JAMES",
        "middle_name": "BREWSTER",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500800759",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.