Active NPI
Alexander Pepping
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1104616523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 25-QMHP-R-3518
- Practice address
- 215 SE 102ND Ave
Portland, OR 97216-2700 - Phone
- (503) 546-9975
- NPI assigned
- May 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 25-QMHP-R-3518 | OR | Primary |
Addresses
Primary practice location
215 SE 102ND Ave
Portland, OR 97216-2700
Mailing address
232 NW 6TH Ave
Portland, OR 97209-3609
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25-QMHP-R-3518 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central City Concern, Inc | Current | Accepting new patients | |
| Central City Concern, Inc | Past | Accepting new patients |
Locations
232 NW 6th Ave
Portland, OR 97209
Phone (503) 501-5641
215 SE 102nd Ave
Portland, OR 97216
Phone (503) 546-9975
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.
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1851651244
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1548071848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1104616523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 NW 6TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 SE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162700",
"telephone_number": "503-546-9975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPING",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "25-QMHP-R-3518",
"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 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.