Matt Stephen Crumbaker, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

521 SW 11TH Ave
Portland, OR 97205-2634

Phone

(503) 572-1755

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1891831616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 SW 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052634",
            "telephone_number": "503-572-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 SW 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052634",
            "telephone_number": "503-572-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMBAKER",
        "first_name": "MATT",
        "middle_name": "STEPHEN",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn-Starr Crowther, L.AC., L.M.T.
• Cassandra May Croxton, CRM
• Steven F Croy
• Alexandria Crum
• Ellilea Crumal
• Nathaniel L Crumet, MD
• Jacob Kendall Crumley
• Mason Crumley, LMT
• Jasmin Crump, LMT
• Rachel Crump

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.