Active NPI
Alchemy Wellness
- Massage Therapist
- Portland, OR
National Provider Identifier
1154841195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- ALCHEMY WELLNESS
- Practice address
- 1320 NW 20TH Ave
Portland, OR 97209-1607 - Phone
- (503) 939-8205
- Fax
- (503) 719-8243
- NPI assigned
- Jun 21, 2017
- Organization subpart
- Yes
- Parent organization
- FREEDOM RISING
Authorized official
NPPES NPI Registry- Name
- Cheryl Greathouse, LMT, LPC-INTERN
- Title
- Owner
- Phone
- (503) 939-8205
National Provider Directory
National Provider Directory- Part of
- Alchemy Wellness
Locations
1320 NW 20th Ave
Portland, OR 97209
Phone (503) 764-9207
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Massage Therapist | 225700000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1320 NW 20TH Ave
Portland, OR 97209-1607
Mailing address
1320 NW 20TH Ave
Portland, OR 97209-1607
Phone (503) 939-8205
Other names 1
NPPES NPI Registry- Alchemy Wellness
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1154841195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 NW 20TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091607",
"telephone_number": "503-939-8205",
"fax_number": "503-719-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 NW 20TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091607",
"telephone_number": "503-939-8205",
"fax_number": "503-719-8243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALCHEMY WELLNESS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FREEDOM RISING",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "GREATHOUSE",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-939-8205",
"authorized_official_credential": "LMT, LPC-INTERN"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alchemy Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Alchemy Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.