Mark William Douglass, LPC
NPI 1023283660ActiveIndividual· Counselor, Professional· Clackamas, OR
Counselor, Professional (LPC) in Clackamas, Oregon, licensed in OR, with an NPI issued in April 2008. Enrolled in Medicare as order and referring only - mental health counselor.
Overview
| NPI | 1023283660 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Apr 24, 2008 |
| Last updated in NPPES | Nov 24, 2023 |
| Certified by provider | Nov 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | C2839 | OR |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 18-03-14 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Mental Health Counselor (OR) |
|---|
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