Individual provider Active NPI

Daniel Scott Chenoweth, PSY.D.

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1801095997
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2423 Issued in OR
Practice address
1121 NE 2ND Ave
Portland, OR 97232-2043
Phone
(503) 731-8656
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2423 OR Primary

Addresses

Primary practice location

1121 NE 2ND Ave
Portland, OR 97232-2043

Mailing address

1121 NE 2ND Ave
Portland, OR 97232-2043
Phone (503) 731-8656

Other practice location 1

9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Phone (971) 229-4009

Other practice location 2

825 NE 20th Ave Ste 120
Portland, OR 97232-2268
Phone (971) 337-3456

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
I20140910002594 OR Practitioner - Clinical Psychologist 6507085289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians
Brightspire Health LLCGroup PAC ID 2163866419, 27 clinicians

Practice addresses (Care Compare)

5440 SW Westgate Dr
Suite 350
Portland, OR 97221-2447
Phone (425) 640-7009

825 NE 20TH Ave
Suite 120
Portland, OR 97232-2268
Phone (971) 229-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2423ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC CurrentSince Aug 18, 2021 Accepting new patients
Western Psychological and Counseling Services LLC Clinical CurrentSince Jun 1, 2015 Accepting new patients
Brightspire Health, LLC CurrentSince Nov 17, 2025 Accepting new patients
Western Psychological and Counseling Services LLC Clinical CurrentSince Jun 1, 2015 Accepting new patients

Locations

9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005
Phone (503) 626-9494

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

1700 NW Civic Dr
Ste 310
Gresham, OR 97030
Phone (503) 666-8832

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

10824 SE Oak St
Portland, OR 97222
Phone (717) 516-1080

825 NE 20th Ave
Ste 120
Portland, OR 97232
Phone (971) 229-4009

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.danielchenoweth@148835.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1801095997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322043",
            "telephone_number": "503-731-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322043",
            "telephone_number": "503-731-8656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9670 SW Beaverton Hillsdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053307",
            "country_code": "US",
            "telephone_number": "971-229-4009",
            "fax_number": "866-324-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 NE 20th Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322268",
            "country_code": "US",
            "telephone_number": "971-337-3456",
            "fax_number": "866-324-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENOWETH",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.