Individual provider Active NPI

John Rabinowitz, QMHP-C, CADC-III

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1043083546
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22-QMHP-001190 Issued in OR
Practice address
10017 NE 13TH Ave
Portland, OR 97211-1563
Phone
(312) 914-0991
NPI assigned
Nov 6, 2023
Reactivated
Jul 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 22-QMHP-001190 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24-06-30113 OR

Addresses

Primary practice location

10017 NE 13TH Ave
Portland, OR 97211-1563

Mailing address

10017 NE 13TH Ave
Portland, OR 97211-1563
Phone (312) 914-0991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22-QMHP-001190ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1043083546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10017 NE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111563",
            "telephone_number": "312-914-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10017 NE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111563",
            "telephone_number": "312-914-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOWITZ",
        "first_name": "JOHN",
        "credential": "QMHP-C, CADC-III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "deactivation_date": "2026-03-23",
        "reactivation_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "22-QMHP-001190",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "24-06-30113",
            "primary": false
        }
    ],
    "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 Aug 10, 2026; 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.