Individual provider Active NPI

Tamara Nava Islas

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1922893114
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
25-QMHA-R-6621 Issued in OR
Practice address
215 SE 102ND Ave
Portland, OR 97216-2700
Phone
(503) 546-9975
NPI assigned
Apr 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 T-24-4563 OR
Peer Specialist 175T00000X 23-CRM-2733 OR
Mental Health Counselor 101YM0800X 25-QMHA-R-6621 OR Primary

Addresses

Primary practice location

215 SE 102ND Ave
Portland, OR 97216-2700

Mailing address

232 NW 6TH Ave
Portland, OR 97209-3609

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

State licenses

LicenseStateTypeSpecialty
T-24-4563ORMDAddiction (Substance Use Disorder) Counselor
25-QMHA-R-6621ORMDMental Health Counselor
23-CRM-2733ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Concern, Inc CurrentSince May 4, 2025 Accepting new patients
Central City Concern, Inc PastSince Apr 13, 2025 Accepting new patients

Locations

215 SE 102nd Ave
Portland, OR 97216
Phone (503) 546-9975

232 NW 6th Ave
Portland, OR 97209
Phone (503) 501-5641

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.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1922893114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 NW 6TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162700",
            "telephone_number": "503-546-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA ISLAS",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-24-4563",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "23-CRM-2733",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "25-QMHA-R-6621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.