Active NPI
Alexander Donald Unwin, MA
- Professional Counselor
- Portland, OR
National Provider Identifier
1336315993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12613
- Practice address
- 4310 NE Killingsworth St
Portland, OR 97218-1404 - Phone
- (269) 432-2747
- NPI assigned
- May 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | A12613 | NC | Primary |
Addresses
Primary practice location
4310 NE Killingsworth St
Portland, OR 97218-1404
Mailing address
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
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
| License | State | Type | Specialty |
|---|---|---|---|
| A12613 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1336315993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 DURHAM CHAPEL HILL BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072829",
"telephone_number": "919-251-9001",
"fax_number": "919-251-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 NE KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972181404",
"telephone_number": "269-432-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNWIN",
"first_name": "ALEXANDER",
"middle_name": "DONALD",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12613",
"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 Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.