Active NPI
Donald Ford, M.A., LPC, LMFT
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1679685309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- OR CO402
- Practice address
- 10490 SW Eastridge St
Suite 130
Portland, OR 97225-5030 - Phone
- (503) 297-2413
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR CO402 | OR | Primary |
| Marriage & Family Therapist | 106H00000X | OR TO246 | OR |
Addresses
Primary practice location
10490 SW Eastridge St
Suite 130
Portland, OR 97225-5030
Mailing address
10490 SW Eastridge St
Suite 130
Portland, OR 97225-5030
Phone (503) 297-2413
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR CO402 | OR | MD | Mental Health Counselor |
| OR TO246 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1679685309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10490 SW EASTRIDGE ST",
"address_2": "SUITE 130",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255030",
"telephone_number": "503-297-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10490 SW EASTRIDGE ST",
"address_2": "SUITE 130",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255030",
"telephone_number": "503-297-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "DONALD",
"credential": "M.A., LPC, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "OR CO402",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "OR TO246",
"primary": false
}
],
"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 Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.