Individual provider Active NPI

Ryan Wade Brown, MA, LPC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1619483096
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5472 Issued in OR
Practice address
333 SW Taylor St Ste 200
Portland, OR 97204-2446
Phone
(503) 446-2500
Fax
(503) 446-4344
NPI assigned
Dec 20, 2017
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C5472 OR Primary

Addresses

Primary practice location

333 SW Taylor St Ste 200
Portland, OR 97204-2446

Mailing address

333 SW Taylor St Ste 200
Portland, OR 97204-2446
Phone (503) 446-2500

Other practice location 1

333 SW Taylor St Ste 200
Portland, OR 97204-2446
Phone (503) 446-2500

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C5472ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Belonging Therapy, LLC Current Accepting new patients
The Center for Being Human, LLC Current Accepting new patients

Locations

333 SW Taylor St
Ste 200
Portland, OR 97204
Phone (503) 446-2500

511 SW 10th Ave
Ste 905
Portland, OR 97205
Phone (503) 224-3435

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1619483096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SW TAYLOR ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042446",
            "telephone_number": "503-446-2500",
            "fax_number": "503-446-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SW TAYLOR ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042446",
            "telephone_number": "503-446-2500",
            "fax_number": "503-446-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 SW Taylor St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972042446",
            "country_code": "US",
            "telephone_number": "503-446-2500",
            "fax_number": "503-446-4344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RYAN",
        "middle_name": "WADE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5472",
            "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 Mar 6, 2024; 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.