Individual provider Active NPI

Ashford Durham Weston, QMHP, LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1790223113
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C6306 Issued in OR
Practice address
333 NE Russell St Ste 201
Portland, OR 97212-3763
Phone
(503) 746-1111
Fax
(503) 218-7032
NPI assigned
Feb 6, 2017
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C6306 OR Primary
Mental Health Counselor 101YM0800X LH61424268 WA
Professional Counselor 101YP2500X 9261 SC

Addresses

Primary practice location

333 NE Russell St Ste 201
Portland, OR 97212-3763

Mailing address

419 E 7TH St Ste 207
The Dalles, OR 97058-2676
Phone (541) 296-5452

Other practice location 1

509 Belvedere Clearwater Rd Unit C
North Augusta, SC 29841-2591
Phone (503) 746-1111

Other practice location 2

600 Stewart St Ste 400
Seattle, WA 98101-1217
Phone (503) 746-1111

Other identifiers 1

IdentifierTypeStateIssuer
1699745794MedicaidOR

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
I20241011003082 OR Practitioner - Mental Health Counselor 4284070087 Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C6306ORMDMental Health Counselor
LH61424268WAMDMental Health Counselor
9261SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Counseling Center Mental Health PastSince Aug 6, 2019 Accepting new patients
Mid-Columbia Center for Living Mental Health Past Accepting new patients
Weston Counseling and Wellness Mental Health PastSince Aug 19, 2024 Accepting new patients

Organizations & group practices 3

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1790223113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E 7TH ST STE 207",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582676",
            "telephone_number": "541-296-5452",
            "fax_number": "541-296-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NE RUSSELL ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123763",
            "telephone_number": "503-746-1111",
            "fax_number": "503-218-7032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Belvedere Clearwater Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298412591",
            "country_code": "US",
            "telephone_number": "503-746-1111",
            "fax_number": "503-218-7032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Stewart St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011217",
            "country_code": "US",
            "telephone_number": "503-746-1111",
            "fax_number": "503-218-7032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTON",
        "first_name": "ASHFORD",
        "middle_name": "DURHAM",
        "credential": "QMHP, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6306",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61424268",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699745794",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.