NPIMap

Organization Active NPI

Empowered Resilience Therapy

  • Adult Mental Health Clinic/Center
  • Beaverton, OR
National Provider Identifier
1003673724
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EMPOWERED RESILIENCE THERAPY
Practice address
3865 SW Hall Blvd
Beaverton, OR 97005-2049
Phone
(971) 477-4050
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Allyson Madden, LCSWNPI 1316520513
Title
Therapist
Phone
(503) 791-9998

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3865 SW Hall Blvd
Beaverton, OR 97005-2049

Mailing address

14640 SW Carolwood Dr
Beaverton, OR 97007-5918
Phone (503) 791-9998

National Provider Directory

National Provider Directory

Locations

3865 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 469-1900

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": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1003673724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 SW CAROLWOOD DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075918",
            "telephone_number": "503-791-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "971-477-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED RESILIENCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "503-791-9998",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.