Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mental Health & Addiction Therapy, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1619418647

Mental Health & Addiction Therapy, LLC is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 SW 10th Ave Ste 601
Portland, OR 97205-2707
Phone: (503) 597-8250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C2855 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11-03-20 (OR)

Record details

NPI number1619418647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Niaz Larsen — Mental Health & Addiction Therapist · (503) 804-1467
NPI enumeratedMarch 9, 2017
Last updated in NPPESMarch 18, 2017
Mailing address4654 N Vancouver Ave, Portland, OR 97217-2946

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