Organization Active NPI

Cultured Care LLC

  • Counselor
  • Tigard, OR
National Provider Identifier
1003411273
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CULTURED CARE LLC
Practice address
6745 SW Hampton St Ste 200
Tigard, OR 97223-8360
Phone
(877) 301-9077
Fax
(866) 959-3177
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Steffannie Roache, MS, LPCNPI 1740535863
Title
Owner/Operator
Phone
(971) 717-2307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

6745 SW Hampton St Ste 200
Tigard, OR 97223-8360

Mailing address

6745 SW Hampton St Ste 200
Tigard, OR 97223-8360
Phone (877) 301-9077

Other names 1

  • Cultured Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.culturedcare.org Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1003411273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 SW HAMPTON ST STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238360",
            "telephone_number": "877-301-9077",
            "fax_number": "866-959-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 SW HAMPTON ST STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238360",
            "telephone_number": "877-301-9077",
            "fax_number": "866-959-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "ROACHE",
        "authorized_official_first_name": "STEFFANNIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "971-717-2307",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.culturedcare.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Confidential Contact Forms",
            "address_1": "6745 SW Hampton St Ste 200",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972238360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cultured Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cultured Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.