Active NPI
David George Hamilton
- Mental Health Counselor
- Clackamas, OR
National Provider Identifier
1548753759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 13726 SE 97TH Ave
Clackamas, OR 97015-8651 - Phone
- (971) 212-5454
- NPI assigned
- Jun 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
13726 SE 97TH Ave
Clackamas, OR 97015-8651
Mailing address
24524 SE Rugg Rd
Damascus, OR 97089-9221
Phone (971) 212-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 448 | Medicaid | OR |
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": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1548753759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24524 SE RUGG RD",
"city": "DAMASCUS",
"state": "OR",
"postal_code": "970899221",
"telephone_number": "971-212-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13726 SE 97TH AVE",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158651",
"telephone_number": "971-212-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "DAVID",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "448",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.