IndividualActive
Michael Lariccia, CADC I
NPI 1033611868 · Addiction (Substance Use Disorder) Counselor · Portland, OR
Provider details
- NPI number
- 1033611868
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC I
- Sex
- Male
- Sole proprietor
- No
- License
- 21-07-10203 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17645 Nw Saint Helens Rd
Portland, OR 97231-1729
Phone: (503) 621-1069
Fax: (503) 621-0200
Street-level locationGet directions
Mailing address
1776 Sw Madison St
Portland, OR 97205-1715
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.