Individual provider Active NPI

Mark Held

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1346642378
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11-09-24 Issued in OR
Practice address
537 SE Alder St
Portland, OR 97214-2231
Phone
(503) 236-3033
NPI assigned
Sep 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11-09-24 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11-CRM-084 OR

Addresses

Primary practice location

537 SE Alder St
Portland, OR 97214-2231

Mailing address

3055 SE 118TH Ave
Portland, OR 97266-1603
Phone (971) 673-2039

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

LicenseStateTypeSpecialty
11-CRM-084ORMDAddiction (Substance Use Disorder) Counselor

Interoperability endpoints

  • Direct secure messaging: mark.held.p1@direct.voaor.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1346642378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 SE 118TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661603",
            "telephone_number": "971-673-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 SE ALDER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142231",
            "telephone_number": "503-236-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELD",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "11-09-24",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "11-CRM-084",
            "primary": false
        }
    ],
    "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 Sep 22, 2014; 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.