Sycamore Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SYCAMORE COUNSELING

Practice address

1294 NW Benfield Dr
Portland, OR 97229-4127

Phone

(971) 710-6013

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By 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

Brent Moore, LPCNPI 1699131763

Title

Owner

Phone

(971) 710-6013

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.

• Brent Moore, LPC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1699131763
  NPD Authorized official

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1205583150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NW SALTZMAN RD # 645",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296098",
            "telephone_number": "971-710-6013",
            "fax_number": "971-297-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 NW BENFIELD DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294127",
            "telephone_number": "971-710-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-710-6013",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SWP Services LLC
• Kaitlyn Nicole Swyers, MA
• Daphne A Sy, MD
• Melissa Sy, RN
• Tara Lynn Sybrant
• Natalie Sydenstricker
• Kathryn Sydney
• Autumn M Sykes, L.M.T.
• Emily Sykes
• Gil Sykes, LPC

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.