Individual provider Active NPI

Madison Unsworth, QMHP LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1467064055
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8311 SE 13TH Ave Ste B3
Portland, OR 97202-7170
Phone
(971) 266-4461
Fax
(971) 386-1109
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C7287 OR
Professional Counselor 101YP2500X C7287 OR
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8311 SE 13TH Ave Ste B3
Portland, OR 97202-7170

Mailing address

8311 SE 13TH Ave Ste B3
Portland, OR 97202-7170
Phone (971) 266-4461

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
C7287ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1467064055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 SE 13TH AVE STE B3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027170",
            "telephone_number": "971-266-4461",
            "fax_number": "971-386-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 SE 13TH AVE STE B3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027170",
            "telephone_number": "971-266-4461",
            "fax_number": "971-386-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNSWORTH",
        "first_name": "MADISON",
        "credential": "QMHP LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7287",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C7287",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Aug 11, 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.

Verify at the official NPI Registry.