Individual provider Active NPI

Alexandria Patton, LPC, MT-BC, NCC

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1710625173
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9495 Issued in OR
Practice address
9725 SW Beaverton Hillsdale Hwy Ste 230
Beaverton, OR 97005-4755
Phone
(503) 430-5762
NPI assigned
May 25, 2022
Last updated
Feb 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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 C9495 OR Primary
Music Therapist 225A00000X MT-T-10221241 OR

Addresses

Primary practice location

9725 SW Beaverton Hillsdale Hwy Ste 230
Beaverton, OR 97005-4755

Mailing address

808 SE Chkalov Dr
Ste 3 - 402
Vancouver, WA 98683
Phone (541) 971-6020

Other identifiers 1

IdentifierTypeStateIssuer
500813473MedicaidOR

Other names 1

  • Allie Patton Professional name

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

LicenseStateTypeSpecialty
C9495ORMDMental Health Counselor
MT-T-10221241ORMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurohaven Counseling LLC Multi-Specialty CurrentSince Mar 11, 2025 Accepting new patients
Dirkse Counseling and Consulting, Inc. Mental Health CurrentSince May 29, 2022 Accepting new patients

Locations

9725 SW Beaverton Hillsdale Hwy
Ste 230
Beaverton, OR 97005
Phone (503) 430-5762

808 SE Chkalov Dr
Ste 3
Vancouver, WA 98683

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1710625173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SE CHKALOV DR",
            "address_2": "STE 3 - 402",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "541-971-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 SW BEAVERTON HILLSDALE HWY STE 230",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054755",
            "telephone_number": "503-430-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "ALEXANDRIA",
        "credential": "LPC, MT-BC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9495",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "OR",
            "license": "MT-T-10221241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500813473",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "PATTON",
            "credential": "LPC, MT-BC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.