Individual provider Active NPI

Nicholas David Carter, LPC

  • Professional Counselor
  • Beaverton, OR
National Provider Identifier
1225637986
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C9083 Issued in OR
Practice address
1100 SW 170TH Ave Unit 201
Beaverton, OR 97003-8093
Phone
(503) 608-0218
NPI assigned
Oct 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X C9083 OR Primary

Addresses

Primary practice location

1100 SW 170TH Ave Unit 201
Beaverton, OR 97003-8093

Mailing address

1100 SW 170TH Ave Unit 201
Beaverton, OR 97003-8093
Phone (503) 608-0218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326003741 OR Practitioner - Mental Health Counselor 7618490061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1500 NW Bethany Blvd
Suite 320
Beaverton, OR 97006-5238
Phone (503) 567-3260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C9083ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Presence Counseling LLC Mental Health CurrentSince Dec 15, 2024 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Mar 10, 2025 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Mar 10, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1500 NW Bethany Blvd
Ste 320
Beaverton, OR 97006
Phone (503) 567-3260

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

Organizations & group practices 3

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1225637986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SW 170TH AVE UNIT 201",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970038093",
            "telephone_number": "503-608-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SW 170TH AVE UNIT 201",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970038093",
            "telephone_number": "503-608-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "NICHOLAS",
        "middle_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.