Active NPI
Artist Eye Counseling
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1487417259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ARTIST EYE COUNSELING
- Practice address
- 5273 NE 24TH Ave
Portland, OR 97211-6201 - Phone
- (503) 413-9712
- NPI assigned
- Feb 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Mitchell, MS, CRC, NCC
- Title
- Owner
- Phone
- (503) 413-9712
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5273 NE 24TH Ave
Portland, OR 97211-6201
Mailing address
5273 NE 24TH Ave
Portland, OR 97211-6201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241029002673 | OR | Part B Supplier - Clinic/Group Practice | 3173056132 |
Receives reassigned benefits from 1 practitioner Practice locations: Portland, OR |
National Provider Directory
National Provider DirectoryLocations
1600 SE Ankeny St
Portland, OR 97214
Phone (503) 236-7094
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Portland, OR
- NPI 1417541897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1487417259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5273 NE 24TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972116201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5273 NE 24TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972116201",
"telephone_number": "503-413-9712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTIST EYE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-02",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-413-9712",
"authorized_official_credential": "MS, CRC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.