Active NPI
Social 58 LLC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1093432957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SOCIAL 58 LLC
- Practice address
- 1515 SW 5TH Ave Ste 930
Portland, OR 97201-5406 - Phone
- (503) 836-3104
- NPI assigned
- Oct 21, 2022
- Last updated
- Sep 2, 2025
- 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
- Mr. Steven M Brown, MA, LMHC, LPC, NCC
- Title
- Director/Owner
- Phone
- (503) 836-3104
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1515 SW 5TH Ave Ste 930
Portland, OR 97201-5406
Mailing address
1515 SW 5TH Ave Ste 930
Portland, OR 97201-5406
Phone (503) 836-3104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1515 SW 5th Ave
Ste 930
Portland, OR 97201
Phone (253) 348-2380
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": "1666310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1093432957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SW 5TH AVE STE 930",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015406",
"telephone_number": "503-836-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SW 5TH AVE STE 930",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015406",
"telephone_number": "503-836-3104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIAL 58 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-21",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "503-836-3104",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, LMHC, LPC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.