Active NPI
Walk the Talk Therapy
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1316348493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0840
- Legal business name
- WALK THE TALK THERAPY
- Practice address
- 516 SE Morrison St
Suite 510
Portland, OR 97214-2327 - Phone
- (503) 609-0369
- NPI assigned
- Sep 9, 2014
- 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
- Sarah Ellenwood, LPC LMFT
- Title
- Owner
- Phone
- (503) 609-0369
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C2846 | OR | |
| Marriage & Family Therapist | 106H00000X | T0840 | OR | Primary |
Addresses
Primary practice location
516 SE Morrison St
Suite 510
Portland, OR 97214-2327
Mailing address
516 SE Morrison St
Suite 510
Portland, OR 97214-2327
Phone (503) 609-0369
National Provider Directory
National Provider DirectoryLocations
516 SE Morrison St
Ste 510
Portland, OR 97214
Phone (503) 609-0369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410220800000",
"number": "1316348493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 SE MORRISON ST",
"address_2": "SUITE 510",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142327",
"telephone_number": "503-609-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 SE MORRISON ST",
"address_2": "SUITE 510",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142327",
"telephone_number": "503-609-0369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALK THE TALK THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A",
"authorized_official_last_name": "ELLENWOOD",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-609-0369",
"authorized_official_credential": "LPC LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C2846",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0840",
"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 Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.