Individual provider Active NPI

Christopher R Rollins, CSWA, LSWAIC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1124367339
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A11643 Issued in OR
Practice address
65 SW Yamhill St Ste 300
Portland, OR 97204-3316
Phone
(503) 878-8885
Fax
(971) 297-1360
NPI assigned
Feb 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11643 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X SC61635105 WA
Adult Companion 372600000X

Addresses

Primary practice location

65 SW Yamhill St Ste 300
Portland, OR 97204-3316

Mailing address

65 SW Yamhill St Ste 300
Portland, OR 97204-3316
Phone (503) 878-8885

Other practice location 1

914 Main St
Vancouver, WA 98660-3136
Phone (503) 878-8885

Other practice location 2

1200 Executive Pkwy Ste 260
Eugene, OR 97401-2199
Phone (503) 878-8885

Other practice location 3

16100 NW Cornell Rd Ste 220
Beaverton, OR 97006-7369
Phone (503) 878-8885

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
A11643ORMDMental Health Counselor
SC61635105WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cascadia Health PastSince Oct 25, 2020 Accepting new patients
Volunteers of America Inc. PastSince Oct 25, 2020 Accepting new patients

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1124367339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SW YAMHILL ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043316",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SW YAMHILL ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043316",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 Main St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603136",
            "country_code": "US",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Executive Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012199",
            "country_code": "US",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16100 NW Cornell Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067369",
            "country_code": "US",
            "telephone_number": "503-878-8885",
            "fax_number": "971-297-1360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "CSWA, LSWAIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "A11643",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC61635105",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "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 Feb 17, 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.