FORA HEALTH INC.
NPI 1245378546
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Q: What is Fora Health Inc.'s NPI number?

The NPI number for Fora Health Inc. is 1245378546. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider was formerly known as De Paul Treatment Centers, Inc..

Q: What is Fora Health Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Fora Health Inc. was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2007

10230 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216(503) 535-1150(503) 535-1190 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2022, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Fora Health Inc. NPPES

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

FORA HEALTH INC. (NPI 1245378546), doing business as De Paul Treatment Centers, Inc., is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since February 2007. The organization lists Mallory Juanita-ann Johnson, Contract Coordinator, as its authorized official.

NPPES Registry Identity

NPI1245378546

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameFORA HEALTH INC.

Location Address10230 SE CHERRY BLOSSOM DRPortland, OR 97216

Mailing AddressP.o.box 16040Portland, OR 97292 · (503) 535-1150 · Fax (503) 535-1190

Phone(503) 535-1150

Fax(503) 535-1190

Organization SubpartNo

Authorized OfficialMallory Juanita-ann JohnsonContract Coordinator · (503) 535-1156

Enumeration DateFebruary 1, 2007

Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration

NPPES CertifiedJuly 27, 2022

✔ NPI 1245378546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X

10230 SE CHERRY BLOSSOM DR, Portland, OR 97216

Open in Google Maps ↗

Other Names 1

Former Legal Business NameDe Paul Treatment Centers, Inc.

Other Identifiers 1

Medicaid299811OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fora Health Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fora Health Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Charlotte Vancleve, PMHNP

Nurse Practitioner

NPI 1669865168

1312 SW WASHINGTON ST
Portland, OR 97205

(503) 535-1150

✔ PECOS6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fora Health Inc.'s NPI number?

The NPI number for Fora Health Inc. is 1245378546. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider was formerly known as De Paul Treatment Centers, Inc..

Where is Fora Health Inc. located?

Fora Health Inc. is located at 10230 SE Cherry Blossom Dr, Portland, OR 97216. The listed phone number is (503) 535-1150.

What is Fora Health Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Fora Health Inc. enrolled in Medicare?

Yes. Fora Health Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fora Health Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Fora Health Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fora Health Inc. accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Fora Health Inc. 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 Fora Health Inc. was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.