Individual provider Active NPI

Naiyana Chantarabunchorn, PHD, LPC, NCC

  • Mental Health Counselor
  • Hillsboro, OR
National Provider Identifier
1174833024
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2684 Issued in OR
Practice address
1915 NE Stucki Ave Ste 400
Hillsboro, OR 97006-6938
Phone
(971) 238-4990
NPI assigned
Oct 13, 2010
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2684 OR Primary

Addresses

Primary practice location

1915 NE Stucki Ave Ste 400
Hillsboro, OR 97006-6938

Mailing address

1915 NE Stucki Ave Ste 400
Hillsboro, OR 97006-6938
Phone (971) 545-4936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH8549FLMDMental Health Counselor
C2684ORMDMental Health Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1174833024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 400",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066938",
            "telephone_number": "971-545-4936",
            "fax_number": "971-250-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 400",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066938",
            "telephone_number": "971-238-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANTARABUNCHORN",
        "first_name": "NAIYANA",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.