NPIMap

Organization Active NPI

Multnomah County

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1619796315
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MULTNOMAH COUNTY
Practice address
209 SW 4TH Ave Ste 520
Portland, OR 97204-1825
Phone
(971) 347-6815
NPI assigned
Oct 9, 2024
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MULTNOMAH COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Antoinette Payne
Title
Finance Director
Phone
(971) 325-6412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

209 SW 4TH Ave Ste 520
Portland, OR 97204-1825

Mailing address

209 SW 4TH Ave Ste 520
Portland, OR 97204-1825
Phone (971) 347-6815

Other names 1

  • K12 Other name

National Provider Directory

National Provider Directory
Tax ID family
Multnomah County Oregon88 organizations share this tax ID, including this one
Part of
Multnomah County Oregon

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1619796315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SW 4TH AVE STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041825",
            "telephone_number": "971-347-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SW 4TH AVE STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041825",
            "telephone_number": "971-347-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTNOMAH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MULTNOMAH COUNTY",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "971-325-6412"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K12",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 28, 2026; 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.