IndividualActive
Juan Mata
NPI 1790563864 · Mental Health Counselor · Fairview, OR
Juan Mata is a Mental Health Counselor provider in Fairview, OR (NPI 1790563864).
Provider details
- NPI number
- 1790563864
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PROFESSIONALLICENSE
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1945 Ne 205th Ave
Fairview, OR 97024-9622
Phone: (503) 661-8050
Fax: (503) 492-4651
Street-level locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2023-09-19
- Last updated
- 2025-08-19
- Certified
- 2023-09-19
Frequently asked questions
- What is Juan Mata's NPI number?
- Juan Mata's National Provider Identifier (NPI) is 1790563864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Juan Mata's specialty?
- Juan Mata is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Juan Mata located?
- Juan Mata's practice location on file with NPPES is 1945 Ne 205th Ave, Fairview, OR 97024-9622.
- What is Juan Mata's phone number?
- The practice phone number listed in the NPPES registry for Juan Mata is (503) 661-8050.
- Is Juan Mata's NPI active?
- Yes — Juan Mata's NPI (1790563864) is active in the NPPES registry as of the last update on 2025-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.