Individual provider Active NPI

Mark S Rowlett, CADC 1/ CRM

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1497560510
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24-09-11240 Issued in OR
Practice address
11930 SE Mill CT
Portland, OR 97216-3974
Phone
(503) 496-8465
NPI assigned
Feb 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24-09-11240 OR Primary

Addresses

Primary practice location

11930 SE Mill CT
Portland, OR 97216-3974

Mailing address

11930 SE Mill CT
Portland, OR 97216-3974
Phone (503) 496-8465

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

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1497560510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 SE MILL CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163974",
            "telephone_number": "503-496-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 SE MILL CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163974",
            "telephone_number": "503-496-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLETT",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "CADC 1/ CRM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "24-09-11240",
            "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 Feb 7, 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.