NPIMap

Organization Active NPI

Grow Wild Therapy Center, LLC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1326837808
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GROW WILD THERAPY CENTER, LLC
Practice address
6863 SE Henry St
Portland, OR 97206-6508
Phone
(757) 635-2869
NPI assigned
May 2, 2025
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Mrs. Amanda Hughes-Huerta, LPCNPI 1396137790
Title
Clinical Director
Phone
(757) 635-2869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

6863 SE Henry St
Portland, OR 97206-6508

Mailing address

6863 SE Henry St
Portland, OR 97206-6508
Phone (757) 635-2869

Other practice location 1

1827 NE 44th Ave Ste 230
Portland, OR 97213-1443
Phone (503) 477-4969

National Provider Directory

National Provider Directory

Locations

1827 NE 44th Ave
Ste 230
Portland, OR 97213
Phone (503) 477-4969

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1326837808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6863 SE HENRY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066508",
            "telephone_number": "757-635-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6863 SE HENRY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066508",
            "telephone_number": "757-635-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1827 NE 44th Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972131443",
            "country_code": "US",
            "telephone_number": "503-477-4969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROW WILD THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "HUGHES-HUERTA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-635-2869",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 2, 2025; 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.