Headlight Mental Healthcare LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HEADLIGHT MENTAL HEALTHCARE LLC

Practice address

555 SE MLK Blvd Unit 105
Portland, OR 97214-2595

Phone

(541) 581-1080

Fax

(541) 588-6525

NPI assigned

Jan 7, 2025

Last updated

Aug 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Dean Laird, PMHNP-BCNPI 1619683224

Title

Owner

Phone

(541) 581-1080

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Dean Laird, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1619683224
  NPD Authorized official

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1265242820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SE MLK BLVD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142595",
            "telephone_number": "541-581-1080",
            "fax_number": "541-588-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SE MLK BLVD UNIT 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142595",
            "telephone_number": "541-581-1080",
            "fax_number": "541-588-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADLIGHT MENTAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "LAIRD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-581-1080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE BOARD OF NURSING",
            "identifier": "10003860",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS REGISTRY NUMBER",
            "identifier": "231782392",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Earl Head, LMT
• Lisa Headings
• Erin Headley, LPC
• Grant M Headley, P.T., D.P.T.
• Kerry Headley, LPC
• Arundhati Undurti Headrick, M.D., PHD
• Joshua Headrick
• Kristina Carolyn Headrick, MSW
• Headwinds Counseling, LLC
• Heal Bridge Wellness Center LLC

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.