Anchored Grace Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANCHORED GRACE THERAPY, LLC

Practice address

888 NW Ewen St
Prineville, OR 97754-1512

Phone

(541) 539-0888

NPI assigned

Feb 12, 2021

Last updated

Feb 12, 2021By 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

Rebecca Bowman, LCSWNPI 1952590085

Title

Owner

Phone

(541) 539-0888

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Rebecca Anne Bowman, LCSW

  • Clinical Social Worker
  • Branson, MO
  • NPI 1952590085
  NPD Authorized official

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1255924049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 NW EWEN ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541512",
            "telephone_number": "541-539-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 NW EWEN ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541512",
            "telephone_number": "541-539-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED GRACE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-539-0888",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anchoredgracetherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email w/ encryption",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "888 NW Ewen St",
            "city": "Prineville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977541512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Jeanne Allen
• Carey L Allen, MD
• Riley Lee Allen, DMD
• Kathryn Alvarado-Rose
• Evan Ameluxen-Coleman
• Alyson Anderson
• Elizabeth Andrea Anderson
• Jamie Anderson, QMHA
• Allyse Carlee Anstine
• Anthony L Ramos DMD PC

• Clinical Social Worker in Prineville, OR
• Providers in Prineville, 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 Feb 12, 2021; 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.