Mohammad A Bader, L.PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1132 Issued in OR

Practice address

423 NE 60TH Ave
Portland, OR 97213-3725

Phone

(503) 475-8676

NPI assigned

Jun 9, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1972762490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 NE FAILING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131057",
            "telephone_number": "503-847-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 NE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133725",
            "telephone_number": "503-475-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "L.PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61606543",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "136251",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara Ruth Bade
• Gina Bianca Bade
• Matthew Walsh Bade
• Amy Noel Bader, N.D.
• Diane Janelle Bader, LCSW
• Stephen B Bader, MD
• Jacob Andrew Badger
• James Allen Badgley
• Ann Marie Badgwell
• Gina Badilla, QMHA-R

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.