Individual provider Active NPI

Brent Kenneth Belford

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1386938389
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8572 Issued in OR
Practice address
2415 SE 43Rd Ave Ste 200
Portland, OR 97206-1671
Phone
(503) 238-0705
NPI assigned
Jun 7, 2011
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L8572 OR Primary
Adult Companion 372600000X

Addresses

Primary practice location

2415 SE 43Rd Ave Ste 200
Portland, OR 97206-1671

Mailing address

PO Box 8459
Portland, OR 97207-8459
Phone (503) 238-0769

Other practice location 1

847 NE 19th Ave
Suite 100
Portland, OR 97232-2684
Phone (503) 238-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200710000742 OR Practitioner - Clinical Social Worker 4284057159 Reassigns benefits to 1 organization
I20260306003053 WA Practitioner - Clinical Social Worker 4284057159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, shared by 2 NPIs, 331 clinicians

Practice addresses (Care Compare)

2222 E Powell Blvd
Gresham, OR 97080-1365
Phone (503) 669-4300

7507 NE 51St St
Vancouver, WA 98662-6007
Phone (360) 906-1190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8572ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brent Belford Psychotherapy PLLC Clinical Current Accepting new patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Sep 1, 2020 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Sep 1, 2020 Accepting new patients

Locations

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

2222 E Powell Blvd
Gresham, OR 97080
Phone (503) 669-4300

12636 SE Stark St
Bldg J
Portland, OR 97233
Phone (503) 253-4600

7507 NE 51st St
Vancouver, WA 98662
Phone (360) 906-1190

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.brentbelford@148835.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1386938389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8459",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078459",
            "telephone_number": "503-238-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SE 43RD AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061671",
            "telephone_number": "503-238-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "847 NE 19th Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322684",
            "country_code": "US",
            "telephone_number": "503-238-0769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELFORD",
        "first_name": "BRENT",
        "middle_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8572",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.