Organization Active NPI

Full Bloom Therapy PDX

  • Counselor
  • West Linn, OR
National Provider Identifier
1346157708
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
FULL BLOOM THERAPY PDX
Practice address
1085 Willamette Falls Dr Ste 105
West Linn, OR 97068-4353
Phone
(503) 272-1167
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Lauren Barthelemy, LPC
Title
Owner
Phone
(503) 272-1167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1085 Willamette Falls Dr Ste 105
West Linn, OR 97068-4353

Mailing address

8323 SE 69TH Ave
Portland, OR 97206-8731
Phone (503) 272-1167

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1346157708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 SE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972068731",
            "telephone_number": "503-272-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 WILLAMETTE FALLS DR STE 105",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684353",
            "telephone_number": "503-272-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM THERAPY PDX",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "BARTHELEMY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-272-1167",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.