Individual provider Active NPI

Madison Lyan, QMHP LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1467064055
Registry record updated Sep 14, 2026
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
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Other names 1

  • Madison Unsworth Former name

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": "1789344000000",
    "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": "LYAN",
        "first_name": "MADISON",
        "credential": "QMHP LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "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": [
        {
            "first_name": "MADISON",
            "last_name": "UNSWORTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 14, 2026; 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.