Individual provider Active NPI

Haven L Cutler

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1568201630
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1750 SW Skyline Blvd
Portland, OR 97221-2533
Phone
(503) 894-9630
NPI assigned
May 20, 2024
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OR Primary
Student in an Organized Health Care Education/Training Program 390200000X OR

Addresses

Primary practice location

1750 SW Skyline Blvd
Portland, OR 97221-2533

Mailing address

1630 SW Clay St Apt 6E
Portland, OR 97201-6050
Phone (502) 507-5854

Other practice location 1

2355 State St Ste 101
Salem, OR 97301-4541
Phone (503) 383-9038

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1568201630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SW CLAY ST APT 6E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972016050",
            "telephone_number": "502-507-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SW SKYLINE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212533",
            "telephone_number": "503-894-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 State St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014541",
            "country_code": "US",
            "telephone_number": "503-383-9038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "HAVEN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 5, 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.