Individual provider Active NPI

Madisen Adelene Pynes, M.A., QMHP

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1841004157
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8196 SW Hall Blvd Ste 230
Beaverton, OR 97008-6401
Phone
(541) 638-0830
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8196 SW Hall Blvd Ste 230
Beaverton, OR 97008-6401

Mailing address

3411 E Hayes St Apt 104
Newberg, OR 97132-1383
Phone (612) 390-6664

Other practice location 1

2355 State St Ste 101
Salem, OR 97301-4541
Phone (503) 383-9039

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Base Behavioral Health LLC Mental Health CurrentSince Sep 3, 2025 Accepting new patients

Locations

8196 SW Hall Blvd
Ste 230
Beaverton, OR 97008
Phone (541) 368-0830

Organizations & group practices 1

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1841004157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 E HAYES ST APT 104",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321383",
            "telephone_number": "612-390-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 SW HALL BLVD STE 230",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086401",
            "telephone_number": "541-638-0830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 State St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014541",
            "country_code": "US",
            "telephone_number": "503-383-9039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYNES",
        "first_name": "MADISEN",
        "middle_name": "ADELENE",
        "credential": "M.A., QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 24, 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.