Active NPI
Matthew Preuitt, LPC
- Professional Counselor
- Clackamas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C10566
- Practice address
- 10151 SE Sunnyside Rd Ste 480
Clackamas, OR 97015-5705 - Phone
- (503) 739-8321
- Fax
- (971) 209-7172
- NPI assigned
- Jun 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C10566 | OR | Primary |
Addresses
Primary practice location
10151 SE Sunnyside Rd Ste 480
Clackamas, OR 97015-5705
Mailing address
10151 SE Sunnyside Rd Ste 480
Clackamas, OR 97015-5705
Phone (503) 739-8321
Other practice location 1
890 82nd Dr
Gladstone, OR 97027-1803
Phone (971) 337-3456
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10824 SE Oak St
Suite 314
Milwaukie, OR 97222-6694
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10566 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightspire Health, LLC | Current | Accepting new patients | |
| Western Psychological and Counseling Services LLC | Past | Accepting new patients |
Locations
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005
Phone (503) 626-9494
890 82nd Dr
Gladstone, OR 97027
Phone (503) 659-5515
825 NE 20th Ave
Ste 120
Portland, OR 97232
Phone (971) 229-4009
10824 SE Oak St
Portland, OR 97222
Phone (717) 516-1080
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beaverton, OR
- NPI 1518656776
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1922730365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 SE SUNNYSIDE RD STE 480",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155705",
"telephone_number": "503-739-8321",
"fax_number": "971-209-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10151 SE SUNNYSIDE RD STE 480",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155705",
"telephone_number": "503-739-8321",
"fax_number": "971-209-7172"
}
],
"practiceLocations": [
{
"address_1": "890 82nd Dr",
"address_purpose": "LOCATION",
"city": "Gladstone",
"state": "OR",
"postal_code": "970271803",
"country_code": "US",
"telephone_number": "971-337-3456",
"fax_number": "866-324-6009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREUITT",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-24",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C10566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.