NPPES file of Aug 9, 2026

Frederick Douglass Staten, PH.D.,LPC, CADC III

Professional Counselor · Portland, OR

Frederick Douglass Staten, PH.D.,LPC, CADC III is a professional counselor with a practice address in Portland, Oregon, and NPI 1417216730, issued on May 7, 2012. Check the license (Oregon C4765, as entered in NPPES) with the Oregon board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417216730
Name
Frederick Douglass Staten
Credential
PH.D.,LPC, CADC III
Primary taxonomy
Professional Counselor 101YP2500X
License numbers
C4765 OR
LH60296096 WA
Self-reported in NPPES; status is on the state search
Practice location
10920 SW Barbur Blvd, Portland, OR 97219
Phone
(503) 244-4500
Enumerated
May 7, 2012
Record last updated
Mar 13, 2026
Fax
(503) 244-2008
Medicare enrollment
Enrolled (PECOS I20260128002446); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest professional counselor records → All 2,558 in Oregon → Look up another NPI →

Also registered at 10920 SW Barbur Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Phoebe CaldwellAddiction (Substance Use Disorder) Counselor1043782857
  2. Nicholas Crapser, MAProfessional Counselor1235482266
  3. Michael Crose, CADC IAddiction (Substance Use Disorder) Counselor1689363053
  4. Samantha Cunningham, LCSWClinical Social Worker1386195139
  5. Rodger EgoAddiction (Substance Use Disorder) Counselor1720674096
  6. Brian ElstonAddiction (Substance Use Disorder) Counselor1609528942

Verify Frederick Douglass Staten in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oregon board licenses this profession
    Search for license C4765    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oregon license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Frederick Douglass Staten among 2,558 professional counselor records in Oregon

Frederick Douglass Staten, PH.D.,LPC, CADC III is one of 2,558 professional counselor records with a practice address in Oregon. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2012, is newer than 36% of them.

  • NPI issued2012 · 36% of these records are older, 59% newer
  • In a Medicare fileNo · 13% of these records are
  • In the CMS Doctors and Clinicians fileYes · 21% of these records are
  • Graduated2011 · median 2014 among the 542 with a school on file
  • Record last updated2026 · 41% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

740 professional counselor records list a practice address in Portland

They are 740 of the 42,088 NPPES records with a practice address in Portland, and 2,558 professional counselor records in Oregon. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 2,558 in Oregon → Every provider in Portland → Professional Counselor nationwide →

The 8 professional counselor records with the nearest ZIP codes

  1. Mamta Bhargava, NCC, LPCPortland, OR 972191235375981
  2. Allyson Buechler, LPCPortland, OR 972191194017830
  3. Robin Gibler, MA LPCPortland, OR 972191689965915
  4. Melissa Grossman, M.S., L.P.C.Portland, OR 972191912234022
  5. Mary Margaret Hickey, LPCPortland, OR 972191730297334
  6. Connie Honer, LPCPortland, OR 972191689825440
  7. Jacqueline Hubka, MA, CEAP, LPCPortland, OR 972191174612261
  8. Michal Irvin, MAPortland, OR 972191326272170

Common questions

What is Frederick Douglass Staten, PH.D.,LPC, CADC III's NPI number?

Frederick Douglass Staten, PH.D.,LPC, CADC III's National Provider Identifier (NPI) is 1417216730, issued on May 7, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Frederick Douglass Staten, PH.D.,LPC, CADC III located?

The NPPES record lists a practice address at 10920 SW Barbur Blvd, Portland, OR, 97219. Phone: (503) 244-4500. Providers update this record themselves, so call before visiting.

How can I verify Frederick Douglass Staten, PH.D.,LPC, CADC III's license?

NPPES lists Oregon license number C4765, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.