Individual provider Active NPI

Nicholas Mathias Thomas Crapser, MA

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1235482266
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C-4563 Issued in OR
Practice address
10920 SW Barbur Blvd
Portland, OR 97219-8600
Phone
(360) 442-1451
NPI assigned
Oct 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 60327803 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X 15-R-27 OR
Mental Health Counselor 101YM0800X 60722084 WA
Professional Counselor 101YP2500X C-4563 OR Primary

Addresses

Primary practice location

10920 SW Barbur Blvd
Portland, OR 97219-8600

Mailing address

10920 SW Barbur Blvd
Portland, OR 97219-8600
Phone (360) 442-1451

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15-R-27ORMDAddiction (Substance Use Disorder) Counselor
60327803WAMDAddiction (Substance Use Disorder) Counselor
60722084WAMDMental Health Counselor
C-4563ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sponsors, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicholas.crapser.1@31628.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1235482266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 SW BARBUR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198600",
            "telephone_number": "360-442-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 SW BARBUR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198600",
            "telephone_number": "360-442-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAPSER",
        "first_name": "NICHOLAS",
        "middle_name": "MATHIAS THOMAS",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60327803",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "15-R-27",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60722084",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C-4563",
            "primary": true
        }
    ],
    "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 Dec 8, 2022; 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.