NPIMap

Organization Active NPI

4D Treatment Mentor Services

  • Peer Specialist
  • Portland, OR
National Provider Identifier
1023866878
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
4D TREATMENT MENTOR SERVICES
Practice address
11010 SE Division St Ste 200
Portland, OR 97266-6400
Phone
(971) 422-0044
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
4TH DIMENSION RECOVERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Dr. Nicholas Mathias Thomas Crapser, PHD, LPC, LMHC
Title
Clinical Director
Phone
(971) 422-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

11010 SE Division St Ste 200
Portland, OR 97266-6400

Mailing address

11010 SE Division St Ste 200
Portland, OR 97266-6400
Phone (971) 422-0044

National Provider Directory

National Provider Directory
Tax ID family
4D Treatment Mentor Services3 organizations share this tax ID, including this one
Part of
4D Treatment Mentor Services

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1023866878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 SE DIVISION ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972666400",
            "telephone_number": "971-422-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 SE DIVISION ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972666400",
            "telephone_number": "971-422-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4D TREATMENT MENTOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "4TH DIMENSION RECOVERY CENTER",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "CRAPSER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "MATHIAS THOMAS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "971-422-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.