Individual provider Active NPI

Hayden Leine Collier, M.S.

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1285999847
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3838 Issued in OR
Practice address
3125B NE Holladay St
Portland, OR 97232-2504
Phone
(503) 966-8437
Fax
(503) 334-2494
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3838 OR Primary

Addresses

Primary practice location

3125B NE Holladay St
Portland, OR 97232-2504

Mailing address

11222 SE Main St Unit 220159
Portland, OR 97269-0815
Phone (503) 966-8437

Other identifiers 1

IdentifierTypeStateIssuer
195164MedicaidOR

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
I20251208002999 OR Practitioner - Mental Health Counselor 6507350519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C3838ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Only Humxn LLC Mental Health CurrentSince Dec 13, 2020 Accepting new patients
Mindful Therapy Group PC Mental Health CurrentSince Nov 24, 2025 Accepting new patients

Locations

11222 SE Main St
Unit 220159
Portland, OR 97269

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 2

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1285999847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11222 SE MAIN ST UNIT 220159",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972690815",
            "telephone_number": "503-966-8437",
            "fax_number": "503-334-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125B NE HOLLADAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322504",
            "telephone_number": "503-966-8437",
            "fax_number": "503-334-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "HAYDEN",
        "middle_name": "LEINE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195164",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.