IndividualActive
Autumn Simmons
NPI 1972176766 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1972176766
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 22-QMHA-R-2421 (OR)
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
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2318 Ne Mlk Jr Blvd
Portland, OR 97212-3715
Phone: (503) 335-8611
Street-level locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Additional practice locations (1)
- 17710 Ne Halsey St Bldg aPortland, OR 97230-6734Phone: (503) 654-7654Fax: (503) 654-7333
Registry dates
- Enumerated
- 2021-07-20
- Last updated
- 2025-09-11
- Certified
- 2023-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.