Aidan J Lynch

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R12494 Issued in OR

Practice address

1512 Somera Dr
Forest Grove, OR 97116-1324

Phone

(503) 840-0777

NPI assigned

Dec 23, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mindful Therapy Group PC

  dba Mindful Therapy Group

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1134084064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 SOMERA DR",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161324",
            "telephone_number": "503-840-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 SOMERA DR",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161324",
            "telephone_number": "503-840-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 NE Irving St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322243",
            "country_code": "US",
            "telephone_number": "425-477-4215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "AIDAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-23",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R12494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Patrick Lowery, O.D.
• Diana Kay Lubarsky, PT
• Anthony C Lucas
• Julie Bernice Lum, PT, DPT, OCS
• Shannon Cathleen Lutz, O.D.
• Christine June Ma
• Mandy Mie Yu Mah
• Managed Health Care of Oregon I LLC (Managed Healthcare of Or LLC)
• Cristina Leigh Mandera, LMT
• Maple Street Clinic Pharmacy LLC (Maple Street Clinic Pharmacy)

• Mental Health Counselor in Forest Grove, OR
• Providers in Forest Grove, 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 Jan 29, 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.