Individual provider Active NPI

Ryan A Lehotay, LPC, CADCII

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1841581733
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3328 Issued in OR
Practice address
516 SE Morrison St
1010
Portland, OR 97214-2327
Phone
(971) 227-7055
NPI assigned
Apr 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 09R24 OR
Mental Health Counselor 101YM0800X C3328 OR Primary
Mental Health Counselor 101YM0800X LH60341539 WA

Addresses

Primary practice location

516 SE Morrison St
1010
Portland, OR 97214-2327

Mailing address

11635 NE Prescott St
Portland, OR 97220-1434
Phone (971) 227-7055

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
I20240316000532 OR Practitioner - Mental Health Counselor 3072959766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

240 Phelps St
Suite 2
Silverton, OR 97381-1927
Phone (971) 983-5214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09R24ORMDAddiction (Substance Use Disorder) Counselor
LH60341539WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Feb 5, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Feb 5, 2024 Accepting new patients

Locations

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

240 Phelps St
Ste 2
Silverton, OR 97381
Phone (971) 983-5214

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1475 Mount Hood Ave
Ste 160
Woodburn, OR 97071
Phone (971) 983-5214

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1841581733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11635 NE PRESCOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201434",
            "telephone_number": "971-227-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SE MORRISON ST",
            "address_2": "1010",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142327",
            "telephone_number": "971-227-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHOTAY",
        "first_name": "RYAN",
        "middle_name": "A",
        "credential": "LPC, CADCII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "09R24",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3328",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60341539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.