Individual provider Active NPI

George Lewis III, MA

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1912780859
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R8465 Issued in OR
Practice address
10700 SW Beaverton Hillsdale Hwy Ste 620
Beaverton, OR 97005-3037
Phone
(503) 939-6424
Fax
(888) 690-5696
NPI assigned
Aug 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 R8465 OR Primary

Addresses

Primary practice location

10700 SW Beaverton Hillsdale Hwy Ste 620
Beaverton, OR 97005-3037

Mailing address

10700 SW Beaverton Hillsdale Hwy Ste 620
Beaverton, OR 97005-3037

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

State licenses

LicenseStateTypeSpecialty
R8465ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brigette Keane Counseling, LLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

10700 SW Beaverton Hillsdale Hwy
Ste 620
Beaverton, OR 97005
Phone (503) 726-9839

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1912780859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 620",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 620",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053037",
            "telephone_number": "503-939-6424",
            "fax_number": "888-690-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GEORGE",
        "name_suffix": "III",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R8465",
            "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 Dec 5, 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.