MR. DYLAN NEIL FIELDS LPC
NPI 1194007229
Counselor - Mental Health in Portland, OR

Active since September 14, 2011PECOS Enrolled
12121 E BURNSIDE ST, PORTLAND, OR 97216(971) 361-7760 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Dylan Neil Fields Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DYLAN NEIL FIELDS LPC (NPI 1194007229) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1194007229
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DYLAN NEIL FIELDSCredential: LPC
Location Address12121 E BURNSIDE STPortland, OR 97216-3737
Mailing Address1215 Ne 63rd AvePortland, OR 97213-4903 · (971) 237-3329
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 14, 2011
Last NPPES UpdateMay 16, 2024
NPPES CertifiedMay 16, 2024
NPI 1194007229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12121 E BURNSIDE ST, Portland, OR 97216

Secondary Practice Location 1

Location 13434 S Kelly AvePortland, OR 97239-4630 · Phone (503) 908-3012 ext. 9

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Dylan Neil Fields Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395188486
PECOS Enrollment IDI20241113001851
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Internal Medicine
12121 E BURNSIDE ST
PORTLAND, OR 97216
Social Worker (Clinical)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
12121 E BURNSIDE ST
PORTLAND, OR 97216
Peer Specialist
12121 E BURNSIDE ST
PORTLAND, OR 97216
Nurse Practitioner (Family)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Peer Specialist
12121 E BURNSIDE ST
PORTLAND, OR 97216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Fields's NPI number?

The NPI number for Dylan Fields is 1194007229. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Dylan Fields located?

Dylan Fields practices at 12121 E Burnside St, Portland, OR 97216. The listed phone number is (971) 361-7760.

What is Dylan Fields's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dylan Fields enrolled in Medicare?

Yes. Dylan Fields is registered in the Medicare PECOS enrollment system.

What insurance does Dylan Fields accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Dylan Fields as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dylan Fields was last updated on May 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.