Active NPI
Nick Marshall, PCA
- Mental Health Counselor
- Winston, OR
National Provider Identifier
1972494870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11 SW Brantley Dr
Winston, OR 97496-4526 - Phone
- (541) 679-0366
- Fax
- (541) 679-4821
- NPI assigned
- Jul 10, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11 SW Brantley Dr
Winston, OR 97496-4526
Mailing address
11 SW Brantley Dr
Winston, OR 97496-4526
Phone (541) 679-0366
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1972494870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SW BRANTLEY DR",
"city": "WINSTON",
"state": "OR",
"postal_code": "974964526",
"telephone_number": "541-679-0366",
"fax_number": "541-679-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SW BRANTLEY DR",
"city": "WINSTON",
"state": "OR",
"postal_code": "974964526",
"telephone_number": "541-679-0366",
"fax_number": "541-679-4821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "NICK",
"credential": "PCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston, OR
- Heather Amie Jameson, M.S., LMHC, LPC
- Lisa Marie Jennings, MSW,QMHP, CSWA, CADC
- Joshua T Myers, DDS, P.C.
- Carisa E Kell, RN
- Wayne Emerald Lang, M.T.(ASCP)
- Cynthia Ann McKenzie-Garrard
- Lindsay Nicole Merritt, PHD, LCSW
- Skyler Scott Meyer, NP
- Orlando Antonio Morales Guerra, CSFA,CSA,CST
- Joshua Myers, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.