Active NPI
Mary Ann Crabtree, CRMII, PWS, CACD-R
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1629879473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- T25-5032
- Practice address
- 16243 NE Fargo St
Portland, OR 97230-5509 - Phone
- (503) 318-6978
- NPI assigned
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T25-5032 | OR | Primary |
Addresses
Primary practice location
16243 NE Fargo St
Portland, OR 97230-5509
Mailing address
16243 NE Fargo St
Portland, OR 97230-5509
Phone (503) 318-6978
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
| License | State | Type | Specialty |
|---|---|---|---|
| T25-5032 | OR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1629879473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16243 NE FARGO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972305509",
"telephone_number": "503-318-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16243 NE FARGO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972305509",
"telephone_number": "503-318-6978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "CRMII, PWS, CACD-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "T25-5032",
"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 19, 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.