IndividualActive
Andrew Black
NPI 1306204193 · Mental Health Counselor · Portland, OR
Andrew Black is a Mental Health Counselor provider in Portland, OR (NPI 1306204193).
Provider details
- NPI number
- 1306204193
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
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
10 yrs in NPPES registry
- Profile completeness38% of score
83% 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
17640 Ne Halsey St
Portland, OR 97230-6733
Phone: (503) 489-5045
Fax: (503) 489-5638
Street-level locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2016-02-08
- Last updated
- 2016-02-08
Frequently asked questions
- What is Andrew Black's NPI number?
- Andrew Black's National Provider Identifier (NPI) is 1306204193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Black's specialty?
- Andrew Black is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Andrew Black located?
- Andrew Black's practice location on file with NPPES is 17640 Ne Halsey St, Portland, OR 97230-6733.
- What is Andrew Black's phone number?
- The practice phone number listed in the NPPES registry for Andrew Black is (503) 489-5045.
- Is Andrew Black's NPI active?
- Yes — Andrew Black's NPI (1306204193) is active in the NPPES registry as of the last update on 2016-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.