Buenavida Therapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BUENAVIDA THERAPY LLC

Practice address

535 SE Washington St Ste 3
Hillsboro, OR 97123-4142

Phone

(503) 330-0511

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Ingrid Rocio Solares, LCSWNPI 1316209331

Title

Owner/Founder

Phone

(503) 330-0511

Specialties & licenses 2

Addresses

Other names 1

• BuenaVida Therapy LLC Doing business as

Locations

Practitioners 1

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

• Ingrid Rocio Solares, MSW

  • Clinical Social Worker
  • Hillsboro, OR
  • NPI 1316209331
  NPD Authorized official

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1275157232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 SE CEDAR ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234429",
            "telephone_number": "503-330-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SE WASHINGTON ST STE 3",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234142",
            "telephone_number": "503-330-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9860 SW Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972238896",
            "country_code": "US",
            "telephone_number": "503-330-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUENAVIDA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "SOLARES",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "ROCIO",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "503-330-0511",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BuenaVida Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BuenaVida Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Anne Bryant, PT ASSISTANT
• Ross Aaron Bryant, OT
• Ruth Viola Bryant, LMT
• Bubblegum and Duct Tape Wellness P C
• Derek Bueffel
• Daisy Bueno, PH.D.
• Jabke S Buesseler, CNM
• Frank T Bui
• Olive Bukuru
• Tiffany Bunn, RDH, BSDH, EPDH

• Adult Mental Health Clinic/Center in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.