Active NPI
Well Rooted Counseling and Consulting, LLC
- Adult Mental Health Clinic/Center
- Portland, OR
National Provider Identifier
1225849110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- WELL ROOTED COUNSELING AND CONSULTING, LLC
- Practice address
- 5441 S Macadam Ave Ste N
Portland, OR 97239-6106 - Phone
- (541) 708-9878
- NPI assigned
- Jan 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Lancelin, LPC
- Title
- Owner
- Phone
- (541) 708-9878
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
5441 S Macadam Ave Ste N
Portland, OR 97239-6106
Mailing address
922 NW Circle Blvd PMB 160-257
Corvallis, OR 97330-1483
Phone (541) 708-9878
National Provider Directory
National Provider DirectoryLocations
922 NW Circle Blvd
Corvallis, OR 97330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Corvallis, OR
- NPI 1700289915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737158400000",
"number": "1225849110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 NW CIRCLE BLVD PMB 160-257",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301483",
"telephone_number": "541-708-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE N",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106",
"telephone_number": "541-708-9878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL ROOTED COUNSELING AND CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-18",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A",
"authorized_official_last_name": "LANCELIN",
"authorized_official_first_name": "REBEKAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-708-9878",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.