Nathan Lee Fordham, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3541 Issued in OR

Practice address

51 SW Lee St
Newport, OR 97365-3823

Phone

(541) 574-5960

NPI assigned

Jan 23, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of LincolnGroup PAC ID 3375439862, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• County of Lincoln

  • Federally Qualified Health Center (FQHC)
  • Newport, OR
  • NPI 1992755664

  OR

  Medicare reassignment Care Compare group NPD
• County of Lincoln

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport, OR
  • NPI 1740061878
  NPD
• County of Lincoln

  • Federally Qualified Health Center (FQHC)
  • Waldport, OR
  • NPI 1942946934
  NPD
• Inactive - County of Lincoln

  • Adult Mental Health Clinic/Center
  • Newport, OR
  • NPI 1326414087
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1275804221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-4179",
            "fax_number": "541-574-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SW LEE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653823",
            "telephone_number": "541-574-5960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 SW 2nd St",
            "address_purpose": "LOCATION",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "country_code": "US",
            "telephone_number": "541-265-4179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 NE Devils Lake Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973675000",
            "country_code": "US",
            "telephone_number": "541-265-4196",
            "fax_number": "541-994-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORDHAM",
        "first_name": "NATHAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3541",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Della Fogerson, PNP
• Kristine Elizabeth Foley, REGISTERED DENTAL HY
• John Wayland Folk, PT
• Sarah Follett, M.S., SLP, CFY
• Candace Ford
• Ashley W Forsyth, D.O.
• Robin D Fox, PMHNP-BC, LPC
• Tyson Lawrence Franck, DRM
• Creta Anne Frandsen, RN
• Rebecca Fransham, LCSW

• Professional Counselor in Newport, OR
• Providers in Newport, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.