Radicle Origins, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RADICLE ORIGINS, LLC

Practice address

10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791

Phone

(626) 565-2816

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Alexander Hayden, LPCNPI 1518357136

Title

Owner

Phone

(626) 565-2816

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.

• Alexander James Hayden, LPC

  • Professional Counselor
  • Portland, OR
  • NPI 1518357136
  NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1235967530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17221",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972170221",
            "telephone_number": "626-565-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 560",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054791",
            "telephone_number": "626-565-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICLE ORIGINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-565-2816",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Quirin, OTR/L
• Bayleigh Lynn Racine
• Erika Rackley, BCBA
• Lisa M Radcliff, F.N.P.
• Nathan J Radecki
• Radspinner Discover Chiropractic LLC (Discover Chiropractic)
• Aaron Christopher Radspinner, D.C.
• Rae of Light Therapy LLC
• Jacklyn Rae
• Andrew Rager, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.