Elevated Hearts Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELEVATED HEARTS CENTER

Practice address

4145 SW Watson Ave Ste 358
Beaverton, OR 97005-2132

Phone

(458) 236-3234

NPI assigned

Feb 26, 2024

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Javier Hicks

Title

Ceo

Phone

(458) 236-3234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1356107478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 SW WATSON AVE STE 358",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052132",
            "telephone_number": "458-236-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 SW WATSON AVE STE 358",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052132",
            "telephone_number": "458-236-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEARTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "458-236-3234"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.