IndividualActive
Brian Mayta, CADC I
NPI 1114063476 · Addiction (Substance Use Disorder) Counselor · Portland, OR
Provider details
- NPI number
- 1114063476
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC I
- Sex
- Male
- Sole proprietor
- No
- License
- 05-03-29 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
847 Ne 19th Ave Ste 100
Portland, OR 97232-2684
Phone: (503) 238-0769
Street-level locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2016-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.