Anthony Michael Grace, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3909 Issued in OR

Practice address

959 SE Division St Ste 520
Portland, OR 97214-4672

Phone

(503) 549-4714

Fax

(503) 506-0411

NPI assigned

Apr 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Second Growth Counseling LLC

  • Professional Counselor
  • Portland, OR
  • NPI 1871083691
  NPD
• Portland Relationship Institute

  • Mental Health Counselor
  • Tigard, OR
  • NPI 1942619655
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1194189639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90309",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972900309",
            "telephone_number": "503-549-4714",
            "fax_number": "503-406-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 SE DIVISION ST STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144672",
            "telephone_number": "503-549-4714",
            "fax_number": "503-506-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 SE Foster Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972664644",
            "country_code": "US",
            "telephone_number": "503-549-4714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACE",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "3909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Grabowsky
• Alisha Graboyes, DC
• Sydney Graboyes
• Grace Birth and Wellness
• Grace Mavromatis, LLC
• Evangeline Bruyere Grace, BA IN PSYCHOLOGY
• Kelly C Grace
• Matthew Grace
• Megan Grace, LMT
• Stephani G Grace, LPC

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.