MENTAL HEALTH & ADDICTION THERAPY, LLC
NPI 1619418647
Counselor - Mental Health in Portland, OR

Active since March 09, 2017
511 SW 10TH AVE STE 601, PORTLAND, OR 97205(503) 597-8250 Get Directions Write a Review

NPPES record last updated: March 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mental Health & Addiction Therapy, Llc NPPES

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

MENTAL HEALTH & ADDICTION THERAPY, LLC (NPI 1619418647) is a healthcare organization registered as a mental health in Portland, Oregon and active in the NPI registry since March 2017. The organization lists Niaz Larsen, Mental Health & Addiction Therapist, as its authorized official.

NPPES Registry Identity

NPI1619418647
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMENTAL HEALTH & ADDICTION THERAPY, LLC
Location Address511 SW 10TH AVE STE 601Portland, OR 97205-2707
Mailing Address4654 N Vancouver AvePortland, OR 97217-2946 · (503) 804-1467
Organization SubpartNo
Authorized OfficialNiaz LarsenMental Health & Addiction Therapist · (503) 804-1467
Enumeration DateMarch 9, 2017
Last NPPES UpdateMarch 18, 2017
NPI 1619418647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · C2855
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11-03-20 (OR)
511 SW 10TH AVE STE 601, Portland, OR 97205

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Community/Behavioral Health
511 SW 10TH AVE STE 601
PORTLAND, OR 97205
Nurse Practitioner (Psychiatric/Mental Health)
511 SW 10TH AVE STE 601
PORTLAND, OR 97205
Nurse Practitioner (Psychiatric/Mental Health)
511 SW 10TH AVE STE 601
PORTLAND, OR 97205
Nurse Practitioner (Psychiatric/Mental Health)
511 SW 10TH AVE STE 601
PORTLAND, OR 97205

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 Mental Health & Addiction Therapy, LLC's NPI number?

The NPI number for Mental Health & Addiction Therapy, LLC is 1619418647. It was assigned to this organization in the NPPES registry on March 9, 2017.

Where is Mental Health & Addiction Therapy, LLC located?

Mental Health & Addiction Therapy, LLC is located at 511 SW 10th Ave Ste 601, Portland, OR 97205. The listed phone number is (503) 597-8250.

What is Mental Health & Addiction Therapy, LLC'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 Mental Health & Addiction Therapy, LLC was last updated on March 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.