IndividualActive
Kevin Peters, CADC1
NPI 1043877103 · Addiction (Substance Use Disorder) Counselor · Portland, OR
Provider details
- NPI number
- 1043877103
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC1
- Sex
- Male
- Sole proprietor
- No
- License
- 101YA0400X
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
20 Ne 10th Ave
Portland, OR 97232-2916
Phone: (503) 239-8400
Fax: (503) 239-8407
Street-level locationGet directions
Mailing address
1027 E Burnside St
Portland, OR 97214-1328
Registry dates
- Enumerated
- 2019-05-23
- Last updated
- 2019-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.