Individual provider

Modupe Bansile

Peer Specialist Counselor

Modupe Bansile is a Peer Specialist in Portland, OR, registered under NPI 1790133031. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 209 SW FOURTH AVE, SUITE 520, Portland, OR 97204. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

209 SW FOURTH AVE, SUITE 520, Portland, OR 97204 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
THW2156 OR Peer Specialist primary

This provider holds licence THW2156 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

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 Peer Specialist covers

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. NUCC Health Care Provider Taxonomy, code 175T00000X
Other Service Providers Peer Specialist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
175T00000X Peer Specialist THW2156 OR primary
101Y00000X Counselor

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-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790133031 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 26, 2016
Last updatedOct 30, 2018
StatusActive
Sole proprietorYes
Practice address 209 SW FOURTH AVE, SUITE 520
Portland, OR 97204
(541) 556-9195
Mailing address 11073 SE MAIN ST
Milwaukie, OR 97222
Other identifiers THW2156 · Medicaid (OR)
The last update on file is Oct 30, 2018. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1790133031 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 7 9 0 1 3 3 0 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 2 3 6 0 6

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

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.

Common questions

What is NPI number 1790133031?
NPI 1790133031 is the National Provider Identifier assigned to Modupe Bansile in Portland, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Peer Specialist cover?
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
How do I contact Modupe Bansile?
The phone number on file with NPPES is (541) 556-9195, last updated Oct 30, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1790133031 a valid number?
Yes. 1790133031 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.