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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COLLIN KING
NPI 1649031469
Counselor - Mental Health in Portland, OR

Active since January 18, 2024PECOS Enrolled
1825 NE BROADWAY ST STE G, PORTLAND, OR 97232(971) 328-3919(503) 902-5440 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2026, Nov 14, 2025, Sep 18, 2025 (3 updates tracked since 2025).

About Collin King NPPES

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

COLLIN KING (NPI 1649031469) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C10262) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649031469
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCOLLIN KING
Location Address1825 NE BROADWAY ST STE GPortland, OR 97232-4433
Mailing Address1825 Ne Broadway St Ste GPortland, OR 97232-4433 · (971) 328-3919 · Fax (503) 902-5440
Phone(971) 328-3919
Fax(503) 902-5440
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 18, 2024
Last NPPES UpdateSeptember 4, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1649031469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · C10262
1825 NE BROADWAY ST STE G, Portland, OR 97232
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collin King is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537665377
PECOS Enrollment IDI20251001001548
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.

Medicare Billing Reassignment

Medicare enrollment records show Collin King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vista Counseling & Consultation, Inc.
105 mi
Community/Behavioral Health
1551 PEARL ST
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • 54 clinicians in this Medicare group
NPI 1275864985 (541) 517-9733

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

Other Providers at the Same Location NPPES 2

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

JAMES BOYDA
Counselor (Mental Health)
1825 NE BROADWAY ST STE G
PORTLAND, OR 97232
Multnomah County (971) 460-1676
RIVERWOOD PSYCHOTHERAPY LLC
Counselor (Professional)
1825 NE BROADWAY ST STE G
PORTLAND, OR 97232
Multnomah County (971) 460-1676

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 Collin King's NPI number?

The NPI number for Collin King is 1649031469. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Where is Collin King located?

Collin King practices at 1825 NE Broadway St Ste G, Portland, OR 97232. The listed phone number is (971) 328-3919.

What is Collin King's specialty?

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

Is Collin King enrolled in Medicare?

Yes. Collin King is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Collin King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Collin King reassigns Medicare benefits to Vista Counseling & Consultation, Inc. (Eugene, OR). The 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 Collin King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Collin King accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Collin King 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 Collin King was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.