Organization Active NPI

Social 58 LLC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1093432957
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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, NCCNPI 1922420348
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)CodeLicenseStatePrimary
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, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250529003001 WA Part B Supplier - Clinic/Group Practice 2062921356 Receives reassigned benefits from 1 practitioner
Practice locations: Vancouver, WA
O20250530003157 OR Part B Supplier - Clinic/Group Practice 2062921356 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.