Individual provider Active NPI

Lance Crawford, LPC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1902427495
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701009103 Issued in VA
Practice address
4640 S Macadam Ave Ste 90
Portland, OR 97239-4285
Phone
(503) 292-0765
NPI assigned
May 6, 2020
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 0701009103 VA Primary

Addresses

Primary practice location

4640 S Macadam Ave Ste 90
Portland, OR 97239-4285

Mailing address

1470 NW Overton St Apt 502
Portland, OR 97209-4078
Phone (540) 688-8066

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
I20251222000000 OR Practitioner - Mental Health Counselor 3971098567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

805 N Whittington Pkwy
Suite 400
Louisville, KY 40222-7102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701009103VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing for the Culture Counseling Services, LLC CurrentSince Oct 22, 2023 Accepting new patients
Progressive Rehabilitation Associates LLC CurrentSince Dec 18, 2025 Accepting new patients

Locations

4640 S Macadam Ave
Ste 90
Portland, OR 97239
Phone (503) 292-0765

Organizations & group practices 2

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1902427495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 NW OVERTON ST APT 502",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094078",
            "telephone_number": "540-688-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 S MACADAM AVE STE 90",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394285",
            "telephone_number": "503-292-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "LANCE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.