Active NPI
Cultured Care LLC
- Counselor
- Tigard, OR
National Provider Identifier
1003411273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Steffannie Roache, MS, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.culturedcare.org | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Marysville, WA
- NPI 1740535863
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.