1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Counselor
  6. NPI Profile

ANDREW BLACK
NPI 1306204193
Counselor - Mental Health in Portland, OR

Active since February 08, 2016
17640 NE HALSEY ST, PORTLAND, OR 97230(503) 489-5045(503) 489-5638 Get Directions Write a Review

NPPES record last updated: February 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Black NPPES

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

ANDREW BLACK (NPI 1306204193) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1306204193
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW BLACK
Location Address17640 NE HALSEY STPortland, OR 97230-6733
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (503) 913-9656
Phone(503) 489-5045
Fax(503) 489-5638
Sole ProprietorNo
Enumeration DateFebruary 8, 2016
✔ NPI 1306204193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17640 NE HALSEY ST, Portland, OR 97230
Open in Google Maps ↗

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.

JOHN LACY
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
AMANDA DREHER
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
JEWELL COLBERT
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
MARIAH BARCINAS
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
JERI DARR
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 654-7654
SHANIQUA BURTON
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
ANGELINA CYNTHIA JEAN CORONA
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
GRACEE HEART
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045

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 Andrew Black's NPI number?

The NPI number for Andrew Black is 1306204193. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Where is Andrew Black located?

Andrew Black practices at 17640 NE Halsey St, Portland, OR 97230. The listed phone number is (503) 489-5045.

What is Andrew Black's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrew Black was last updated on February 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.