Organization Active NPI

Pacific Trillium Counseling LLC

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1104735091
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PACIFIC TRILLIUM COUNSELING LLC
Practice address
101 E 8TH St Ste 110
Vancouver, WA 98660-3294
Phone
(971) 258-1944
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Kristen R Doyle, LICSW
Title
Owner
Phone
(971) 258-1944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

101 E 8TH St Ste 110
Vancouver, WA 98660-3294

Mailing address

101 E 8TH St Ste 110
Vancouver, WA 98660-3294
Phone (971) 258-1944

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1104735091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 8TH ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603294",
            "telephone_number": "971-258-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 8TH ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603294",
            "telephone_number": "971-258-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC TRILLIUM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-258-1944",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.