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: September 06, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Counselor (Mental Health)
1825 NE BROADWAY ST STE G
PORTLAND, OR 97232
Counselor (Professional)
1825 NE BROADWAY ST STE G
PORTLAND, OR 97232

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.

What insurance does Collin King accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. 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 7 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.