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MR. NATHAN LEE FORDHAM LPC
NPI 1275804221
Counselor - Professional in Newport, OR

Active since January 23, 2012PECOS EnrolledAccepts Medicare Assignment
51 SW LEE ST, NEWPORT, OR 97365(541) 574-5960 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2018, Sep 29, 2016 (2 updates tracked since 2016).

About Mr. Nathan Lee Fordham Lpc NPPES

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

MR. NATHAN LEE FORDHAM LPC (NPI 1275804221) is an individual professional provider in Newport, Oregon, licensed in Oregon (C3541) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1275804221
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. NATHAN LEE FORDHAMCredential: LPC
Location Address51 SW LEE STNewport, OR 97365-3823
Mailing Address36 Sw Nye StNewport, OR 97365-3821 · (541) 265-4179 · Fax (541) 574-6252
Phone(541) 574-5960
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 23, 2012
Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1275804221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C3541
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C3541 (OR)
51 SW LEE ST, Newport, OR 97365
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1209 SW 2nd StNEWPORT, OR 97365 · Phone (541) 265-4179
Location 24422 NE Devils Lake Blvd Ste 2Lincoln City, OR 97367-5000 · Phone (541) 265-4196 · Fax (541) 994-1882

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nathan Lee Fordham Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385184985
PECOS Enrollment IDI20240910002977
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.

MR. JEFFREY PRICE RECOVERY MENTOR
Counselor (Addiction (Substance Use Disorder))
51 SW LEE ST
NEWPORT, OR 97365
Lincoln County (541) 574-5960
JORDYN EMILY HUBBARD
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Lincoln County (541) 574-5960
JASE ELI PECANHA QMHA
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Lincoln County (541) 574-5960
SOFIA LOUISE GOHEEN
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Lincoln County (541) 574-5960
MR. JOHN MITCHELL COFFEY QMHA
Case Manager/Care Coordinator
51 SW LEE ST
NEWPORT, OR 97365
Lincoln County (541) 574-5960
GINA D GOLDEN-WILLEFORD CASE MANAGER 2, QMHA
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Lincoln County (541) 574-5960
JANDRA OLIVER MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Lincoln County (541) 265-4179
MICHELLE D SWEAT-CORDOVA QMHP
Counselor (Mental Health)
51 SW LEE ST
NEWPORT, OR 97365
Lincoln County (541) 574-5960

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 Nathan Fordham's NPI number?

The NPI number for Nathan Fordham is 1275804221. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Where is Nathan Fordham located?

Nathan Fordham practices at 51 SW Lee St, Newport, OR 97365. The listed phone number is (541) 574-5960.

What is Nathan Fordham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nathan Fordham enrolled in Medicare?

Yes. Nathan Fordham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nathan Fordham accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nathan Fordham 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 Nathan Fordham was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.