Organization Active NPI

Linktherapy LLC

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1073936522
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C3445 Issued in OR
Legal business name
LINKTHERAPY LLC
Practice address
3880 SE 8TH Ave
Suite 270
Portland, OR 97202-3772
Phone
(503) 545-6798
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Lacy Cooper, MSNPI 1083010193
Title
Therapist
Phone
(503) 508-5819

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C3445 OR Primary

Addresses

Primary practice location

3880 SE 8TH Ave
Suite 270
Portland, OR 97202-3772

Mailing address

3880 SE 8TH Ave
Suite 270
Portland, OR 97202-3772
Phone (503) 545-6798

Other identifiers 1

IdentifierTypeStateIssuer
500671746MedicaidOR

Other names 1

  • Lacy Cooper Other name

National Provider Directory

National Provider Directory

Locations

3880 SE 8th Ave
Ste 270
Portland, OR 97202
Phone (503) 545-6798

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.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1073936522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SE 8TH AVE",
            "address_2": "SUITE 270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023772",
            "telephone_number": "503-545-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SE 8TH AVE",
            "address_2": "SUITE 270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023772",
            "telephone_number": "503-545-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINKTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "503-508-5819",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C3445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500671746",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lacy Cooper",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 14, 2017; 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.