Flight Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3829 Issued in OR

Legal business name

FLIGHT THERAPY, LLC

Practice address

2390 NW Thurman St
Portland, OR 97210-2521

Phone

(971) 272-5678

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By 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

Dana Milagrosa, LPC

Title

LPC, Owner

Phone

(971) 272-5678

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1053788216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102521",
            "telephone_number": "971-272-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLIGHT THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "MILAGROSA",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "LPC, OWNER",
        "authorized_official_telephone_number": "971-272-5678",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.