Fill Your Cupp Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FILL YOUR CUPP THERAPY LLC

Doing business as

Fill Your Cupp Therapy

Practice address

14087 SW Springbrook LN
Tigard, OR 97223-2026

Phone

(971) 329-9568

NPI assigned

Sep 11, 2024

Organization subpart

No

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

Authorized official

Name

Ana R CuppNPI 1366114068

Title

Licensed Clinical Social Worker

Phone

(971) 329-9568

Specialties & licenses 1

Addresses

Other names 1

• Fill Your Cupp Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ana Cupp, MSW, CSW-INTERN

  • Social Worker
  • Portland, OR
  • NPI 1366114068
  NPD Authorized official

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1184450520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 SW PACIFIC HWY STE H",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14087 SW SPRINGBROOK LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232026",
            "telephone_number": "971-329-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILL YOUR CUPP THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "CUPP",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "971-329-9568"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fill Your Cupp Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agustin Fernandez Alonso, DC
• Aidan Ferstadt
• Joelle Jordan Fieland, COTA/L
• Colin Field-Eaton, MD
• Jim Wayne Fields II
• Kai Finlayson
• Laura Elizabeth Finwall
• Fisher Chiropractic, D.C., P.C.
• Jennifer Fisher
• Polly Ann Fisher, PSY.D.

• Clinical Social Worker in Tigard, OR
• Providers in Tigard, 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 Sep 19, 2024; 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.