Active NPI
Embodied Consciousness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
National Provider Identifier
1023922853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- EMBODIED CONSCIOUSNESS
- Practice address
- 7825 SW 36TH Ave Ste 204
Portland, OR 97219-1689 - Phone
- (971) 266-7176
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- 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
- Kelly D Hirstein, LPC
- Title
- Owner
- Phone
- (971) 266-7176
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
7825 SW 36TH Ave Ste 204
Portland, OR 97219-1689
Mailing address
7695 SW Hillcrest PL
Beaverton, OR 97008-5823
Phone (971) 266-7176
Practitioners & affiliated clinicians
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.
-
- Mental Health Counselor
- Beaverton, OR
- NPI 1588175186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1023922853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7695 SW HILLCREST PL",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085823",
"telephone_number": "971-266-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 SW 36TH AVE STE 204",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191689",
"telephone_number": "971-266-7176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBODIED CONSCIOUSNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "HIRSTEIN",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-266-7176",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.