Oldtown Counseling and Consultation, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OLDTOWN COUNSELING AND CONSULTATION, LLC

Practice address

4295 SW Tegart LN
Gresham, OR 97080-8653

Phone

(971) 425-6524

NPI assigned

May 18, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Altstadt, LPCNPI 1659611960

Title

Counselor; Member

Phone

(971) 425-6524

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Joseph Altstadt, M.A.

  • Mental Health Counselor
  • Portland, OR
  • NPI 1659611960
  NPD Authorized official

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1134058001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 SW TEGART LN",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808653",
            "telephone_number": "971-425-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 SW TEGART LN",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808653",
            "telephone_number": "971-425-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDTOWN COUNSELING AND CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-17",
        "status": "A",
        "authorized_official_last_name": "ALTSTADT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "COUNSELOR; MEMBER",
        "authorized_official_telephone_number": "971-425-6524",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Obermeyer, LCSW
• Heather Kamisky Odell, DPT
• Vitalis C. Ogbeama Sr.
• Ohana Garden City Operations LLC
• Okaeri Massage Therapy LLC
• Madelaine Oliva Sandoval, BT
• Marilyn K Oliver
• Tamu Oliver
• Emma Olney
• Jeff N Olsgaard, MA, MDIV, NCC, LCPC

• Mental Health Counselor in Gresham, OR
• Providers in Gresham, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.