Organization Active NPI

Uplifting Journey LLC

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1114795531
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPLIFTING JOURNEY LLC
Practice address
421 N Broadway
Portland, OR 97227-1803
Phone
(781) 354-8094
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Espoir Ntezeyombi
Title
Ceo
Phone
(623) 299-1254

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

421 N Broadway
Portland, OR 97227-1803

Mailing address

319 SE 162ND Ave
Portland, OR 97233-3807
Phone (623) 299-1254

National Provider Directory

National Provider Directory

Locations

421 N Broadway
Portland, OR 97227
Phone (781) 354-8094

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1114795531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SE 162ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333807",
            "telephone_number": "623-299-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271803",
            "telephone_number": "781-354-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTING JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "NTEZEYOMBI",
        "authorized_official_first_name": "ESPOIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-299-1254"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 14, 2023; 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.