MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC
MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104333103, based in Portland, OR. The organization lists 3 taxonomy classifications, with Professional Counselor recorded as primary.
Getting there
The practice address on file is 650 NE HOLLADAY ST STE 16001614, Portland, OR 97232. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| C4036 | OR | Professional Counselor primary |
| C4036 | OR | Community/Behavioral Health Agency |
This provider holds licence C4036 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Professional covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor Professional | C4036 | OR | primary |
| 1041C0700X | Clinical Social Worker Clinical | — | OR | |
| 251S00000X | Community/Behavioral Health Agency | C4036 | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104333103 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 29, 2017 |
| Last updated | Jun 16, 2018 |
| Status | Active |
| Practice address |
650 NE HOLLADAY ST STE 16001614 Portland, OR 97232 (503) 367-3630 Fax (503) 224-3126 |
| Mailing address |
650 NE HOLLADAY ST STE 1600 Portland, OR 97232 |
| Other identifiers |
13804154
· NATIONAL PROVIDER NUMBER, TERESA CONLAN 1942662150 · NATIONAL PROVIDER NUMBER, DANIEL GILBRIDE |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 3 | 3 | 3 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 6 | 3 | 6 | 1 | 0 |
Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.