Active NPI
Alexandria Patton, LPC, MT-BC, NCC
- Mental Health Counselor
- Beaverton, OR
National Provider Identifier
1710625173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C9495
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500813473 | Medicaid | OR |
Other names 1
- Allie Patton
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
| License | State | Type | Specialty |
|---|---|---|---|
| C9495 | OR | MD | Mental Health Counselor |
| MT-T-10221241 | OR | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurohaven Counseling LLC | Multi-Specialty | Current | Accepting new patients |
| Dirkse Counseling and Consulting, Inc. | Mental Health | Current | 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.
-
- Adult Mental Health Clinic/Center
- Beaverton, OR
- NPI 1366909061
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.