NPIMap

Organization Active NPI

Mind Matters PC

  • Psychologist
  • Beaverton, OR
National Provider Identifier
1285839019
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
MD, PMHNP LPC Issued in OR
Legal business name
MIND MATTERS PC
Practice address
8905 SW Nimbus Ave Ste 300
Beaverton, OR 97008-7162
Phone
(503) 352-0468
Fax
(503) 352-1024
NPI assigned
Jun 20, 2007
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Sue Jensen
Title
Practice Administrator
Phone
(503) 352-0468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X MD, PMHNP LPC OR Primary

Addresses

Primary practice location

8905 SW Nimbus Ave Ste 300
Beaverton, OR 97008-7162

Mailing address

8905 SW Nimbus Ave Ste 300
Beaverton, OR 97008-7162
Phone (503) 352-0468

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1285839019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 SW NIMBUS AVE STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087162",
            "telephone_number": "503-352-0468",
            "fax_number": "503-352-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 SW NIMBUS AVE STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087162",
            "telephone_number": "503-352-0468",
            "fax_number": "503-352-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "503-352-0468"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "MD, PMHNP  LPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.