Individual provider Active NPI

Michael Glade Binks, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1598773608
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
061188U3 Issued in OR
Practice address
1817 NE 17TH Ave
Samaritan Counseling Center Main Office
Portland, OR 97212-4509
Phone
(503) 281-3318
Fax
(503) 281-0937
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1884 OR
Professional Counselor 101YP2500X C1884 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X 061188U3 OR Primary

Addresses

Primary practice location

1817 NE 17TH Ave
Samaritan Counseling Center Main Office
Portland, OR 97212-4509

Mailing address

6811 SE Mall St
Portland, OR 97206-3573
Phone (503) 704-0573

Other identifiers 1

IdentifierTypeStateIssuer
271177MedicaidOR

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
061188U3ORMDAddiction (Substance Use Disorder) Counselor
C1884ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1598773608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 SE MALL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063573",
            "telephone_number": "503-704-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 NE 17TH AVE",
            "address_2": "SAMARITAN COUNSELING CENTER MAIN OFFICE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124509",
            "telephone_number": "503-281-3318",
            "fax_number": "503-281-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINKS",
        "first_name": "MICHAEL",
        "middle_name": "GLADE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1884",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1884",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "061188U3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271177",
            "state": "OR"
        }
    ],
    "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 Sep 11, 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.