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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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: July 19, 2026.

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

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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

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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.

MRS. CYNTHIA LYNN PARK QMHA

Counselor (Mental Health)