Active NPI
Brandon Charles Parsons, CRM-II, CADC-R
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1336947464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- T-25-4906
- Practice address
- 411 NE 19TH Ave
Portland, OR 97232-4801 - Phone
- (541) 228-0864
- NPI assigned
- Mar 5, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-25-4906 | OR | Primary |
Addresses
Primary practice location
411 NE 19TH Ave
Portland, OR 97232-4801
Mailing address
86 SW 106TH PL
Portland, OR 97225-6973
Phone (971) 221-2247
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-25-4906 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Recovery LLC | Current | Accepting new patients |
Locations
411 NE 19th Ave
Portland, OR 97232
Phone (541) 228-0864
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Portland, OR
- NPI 1164256889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1336947464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 SW 106TH PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256973",
"telephone_number": "971-221-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 NE 19TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972324801",
"telephone_number": "541-228-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSONS",
"first_name": "BRANDON",
"middle_name": "CHARLES",
"credential": "CRM-II, CADC-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "T-25-4906",
"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 Mar 5, 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.