Organization Active NPI

Evolve and Elevate, LLC

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1316661010
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EVOLVE AND ELEVATE, LLC
Practice address
2000 NE 42ND Ave # 1085
Portland, OR 97213-1399
Phone
(971) 710-8287
Fax
(503) 821-7821
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Torrey A Thille, LCSW
Title
Licensed Clinical Social Worker
Phone
(971) 710-8287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2000 NE 42ND Ave # 1085
Portland, OR 97213-1399

Mailing address

2093 NW Yucca Way
Redmond, OR 97756-8549
Phone (971) 710-8287

National Provider Directory

National Provider Directory

Locations

2000 NE 42nd Ave
#1085
Portland, OR 97213
Phone (971) 710-8287

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1316661010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 NW YUCCA WAY",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977568549",
            "telephone_number": "971-710-8287",
            "fax_number": "503-821-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NE 42ND AVE # 1085",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131399",
            "telephone_number": "971-710-8287",
            "fax_number": "503-821-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE AND ELEVATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "THILLE",
        "authorized_official_first_name": "TORREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "971-710-8287",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jul 11, 2023; 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.