Individual provider Active NPI

Benji Hurston

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1598549149
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R9267 Issued in OR
Practice address
2926 NE Flanders St RM 3C
Portland, OR 97232-3259
Phone
(971) 319-5458
NPI assigned
Aug 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X OR
Mental Health Counselor 101YM0800X R9267 OR Primary

Addresses

Primary practice location

2926 NE Flanders St RM 3C
Portland, OR 97232-3259

Mailing address

2926 NE Flanders St RM 3C
Portland, OR 97232-3259
Phone (971) 319-5458

Other practice location 1

11220 SE Stark St
Portland, OR 97216-3379
Phone (971) 361-8303

Other practice location 2

2410 SE 10th Ave
Portland, OR 97214-4624
Phone (503) 383-9643

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
R9267ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1598549149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 NE FLANDERS ST RM 3C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323259",
            "telephone_number": "971-319-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 NE FLANDERS ST RM 3C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323259",
            "telephone_number": "971-319-5458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11220 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972163379",
            "country_code": "US",
            "telephone_number": "971-361-8303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 SE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972144624",
            "country_code": "US",
            "telephone_number": "503-383-9643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURSTON",
        "first_name": "BENJI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9267",
            "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 Apr 23, 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.