Individual provider Active NPI

Justin Artoff, CADC I

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1649585274
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R7867 Issued in OR
Practice address
811 SW 6TH Ave Ste 1000
Portland, OR 97204-1345
Phone
(303) 550-3334
NPI assigned
Aug 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22-08-10494 OR
Adult Companion 372600000X
Mental Health Counselor 101YM0800X R7867 OR Primary

Addresses

Primary practice location

811 SW 6TH Ave Ste 1000
Portland, OR 97204-1345

Mailing address

7400 SW Barnes Rd Apt 653
Portland, OR 97225-7023
Phone (503) 238-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112002680 OR Practitioner - Mental Health Counselor 4183100910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7400 SW Barnes Rd Apt
Suite 653
Portland, OR 97225-7023

811 SW 6TH Ave
Suite 1000
Portland, OR 97204-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R7867ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services Connection LLC CurrentSince Jan 1, 2026 Accepting new patients
Base Behavioral Health LLC Mental Health PastSince Feb 1, 2024 Accepting new patients

Locations

3611 SE 20th Ave
Ste 202
Portland, OR 97202
Phone (503) 334-3035

811 SW 6th Ave
Ste 1000
Portland, OR 97204
Phone (503) 334-3035

Organizations & group practices 2

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": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1649585274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 SW BARNES RD APT 653",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972257023",
            "telephone_number": "503-238-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SW 6TH AVE STE 1000",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041345",
            "telephone_number": "303-550-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTOFF",
        "first_name": "JUSTIN",
        "credential": "CADC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "22-08-10494",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R7867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.