Black Swan Healing LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLACK SWAN HEALING LLC

Practice address

5441 S Macadam Ave Ste N
Portland, OR 97239-6106

Phone

(971) 268-7462

Fax

(971) 202-9584

NPI assigned

Aug 12, 2024

Last updated

Feb 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas A McGee, LPC, LMHCNPI 1952850257

Title

Counselor/Owner

Phone

(360) 393-2125

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas McGee

  • Mental Health Counselor
  • Portland, OR
  • NPI 1952850257
  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1023849882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE N",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396106",
            "telephone_number": "360-393-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE N",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396106",
            "telephone_number": "971-268-7462",
            "fax_number": "971-202-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK SWAN HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "360-393-2125",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel James Blachowski
• Black Enterprises, Inc
• Black Men & Women in Training (Bmwit)
• Black Men & Women in Training
• Black Parent Initiative
• Black Therapy Portland, LLC
• Corrie Alena Black-Rofinot, D.P.T.
• Cheyanne Black-Slaughter
• Alexis Black
• Alyssa Black

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.