Living Tree Wellness Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIVING TREE WELLNESS CENTER, LLC

Practice address

2855 E Hayes St Ste 205
Newberg, OR 97132-1390

Phone

(503) 431-0063

Fax

(503) 554-1848

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Marlena Laura-Joann Johnson, LCSWNPI 1437409414

Title

Owner/Clinician

Phone

(503) 567-2894

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Living Tree Wellness Center LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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

• Marlena Laura-Joann Johnson, QMHP

  • Clinical Social Worker
  • Newberg, OR
  • NPI 1437409414
  Medicare reassignment NPD Authorized official
• Amanda Ray Melian, LCSW

  • Social Worker
  • Newberg, OR
  • NPI 1669822573
  NPD

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1245966613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BRUTSCHER ST STE D PMB 150",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-567-2894",
            "fax_number": "503-388-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E HAYES ST STE 205",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321390",
            "telephone_number": "503-431-0063",
            "fax_number": "503-554-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING TREE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_middle_name": "LAURA-JOANN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "503-567-2894",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437409414",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Tree Wellness Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol B. Lincer, RDH
• Carley Gage Lindsay, LCSW
• Lisa Marie Lipe, D.P.M.
• Vanessa L Little, LPC
• Lawrence R. Litwer, M.D.
• Sarah Livings, LMT
• Gabriele Rose Livni
• Carleton H Lloyd, PHD, PSYD
• Ashutosh Kumar Lodhi, M.D., M.P.H.
• Andrew Joel Loera

• Clinical Social Worker in Newberg, OR
• Providers in Newberg, 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 Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.