Individual provider Active NPI

Willie Harris

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1649638164
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C9283 Issued in OR
Practice address
5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Phone
(504) 326-5175
NPI assigned
Jan 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 161647385 LA
Professional Counselor 101YP2500X C9283 OR Primary

Addresses

Primary practice location

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Mailing address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Phone (504) 326-5175

Other practice location 1

4747 Earhart Blvd Ste D
New Orleans, LA 70125-1747
Phone (504) 482-2600

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
I20251222001540 OR Practitioner - Mental Health Counselor 6901391432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5441 S Macadam Ave
Suite R
Portland, OR 97239-3822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
161647385LAMDMental Health Counselor
C9283ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flod Mental Health Treatment LLC Professional CurrentSince Oct 27, 2025 Accepting new patients

Locations

5441 S Macadam Ave
Ste R
Portland, OR 97239
Phone (818) 618-3619

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": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1649638164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822",
            "telephone_number": "504-326-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822",
            "telephone_number": "504-326-5175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Earhart Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701251747",
            "country_code": "US",
            "telephone_number": "504-482-2600",
            "fax_number": "504-482-2644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WILLIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "161647385",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.