Active NPI
Andrew Decker
- Mental Health Counselor
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T2097
- Practice address
- 19500 SE Stark St
Portland, OR 97233-5757 - Phone
- (800) 813-2000
- NPI assigned
- Aug 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T2097 | OR | Primary |
Addresses
Primary practice location
19500 SE Stark St
Portland, OR 97233-5757
Mailing address
500 NE Multnomah St FL 11
Portland, OR 97232-2023
Other practice location 1
1175 E Main St Ste C1
Medford, OR 97504-7457
Phone (541) 772-0127
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3550 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T2097 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade AIDS Project | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Cascade AIDS Project | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321
19500 SE Stark St
Portland, OR 97233
Phone (503) 669-3900
500 NE Multnomah St
Fl 11
Portland, OR 97232
2236 SE Belmont St
Portland, OR 97214
Phone (503) 445-7699
520 NW Davis St
Ste 215
Portland, OR 97209
Phone (503) 223-5907
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Organizations & group practices 5
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1275076168
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1336902394
-
- General Practice Physician
- Portland, OR
- NPI 1649722034
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1740837012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST FL 11",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19500 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972335757",
"telephone_number": "800-813-2000"
}
],
"practiceLocations": [
{
"address_1": "1175 E Main St Ste C1",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975047457",
"country_code": "US",
"telephone_number": "541-772-0127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DECKER",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-21",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "T2097",
"primary": true
}
],
"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 Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.