Organization Active NPI

Alchemy Wellness

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1154841195
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ALCHEMY WELLNESS
Doing business as
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
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FREEDOM RISINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cheryl Greathouse, LMT, LPC-INTERN
Title
Owner
Phone
(503) 939-8205

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary 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

  • Alchemy Wellness Doing business as

National Provider Directory

National Provider Directory
Part of
Alchemy Wellness

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.