Individual provider Active NPI

Drew William Sinclair

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1639807910
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6118 SE Belmont St Ste 321
Portland, OR 97215-1982
Phone
(570) 239-1670
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6118 SE Belmont St Ste 321
Portland, OR 97215-1982

Mailing address

2355 State St Ste 101
Salem, OR 97301-4541
Phone (570) 239-1670

Other practice location 1

8634 NE Dyer St
Portland, OR 97220-5266
Phone (570) 239-1670

Other practice location 2

1100 SE 12th Ave Apt 311
Portland, OR 97214-3988
Phone (570) 239-1670

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delve Psychotherapy Northwest LLC Mental Health CurrentSince Nov 10, 2024 Accepting new patients

Locations

6118 SE Belmont St
Ste 321
Portland, OR 97215
Phone (206) 475-3808

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1639807910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "570-239-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 SE BELMONT ST STE 321",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151982",
            "telephone_number": "570-239-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8634 NE Dyer St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972205266",
            "country_code": "US",
            "telephone_number": "570-239-1670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 SE 12th Ave Apt 311",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972143988",
            "country_code": "US",
            "telephone_number": "570-239-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "DREW",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Nov 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.