Great Blue Heron Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GREAT BLUE HERON COUNSELING LLC

Practice address

4223 SE 66TH Ave
Portland, OR 97206-3658

Phone

(503) 400-3265

NPI assigned

Jan 5, 2026

Last updated

Jan 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Lutz, MSW, LCSWNPI 1982127817

Title

Clinical Social Worker

Phone

(503) 400-3265

Specialties & licenses 1

Addresses

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.

• Ryan Robert Lutz, MSW, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1982127817
  NPD Authorized official

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1154288041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 SE 66TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063658",
            "telephone_number": "503-400-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 SE 66TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063658",
            "telephone_number": "503-400-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BLUE HERON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "503-400-3265",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salena Shantel Grayson
• Richard Grazer, MD
• Alyssa Joelle Graziano
• Jeremy Graziano, O.D.
• Ellen Greaney
• Great Soul Counseling&Consultation LLC
• Cheryl Lynn Greathouse, MA
• Kelly Greathouse, MOT
• Ashley Nicole Greaves
• David W. Greaves, PH.D.

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.