Organization Active NPI

Embodyment Counseling

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1366208522
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMBODYMENT COUNSELING
Practice address
1020 SW Taylor St Ste 660
Portland, OR 97205-2559
Phone
(971) 260-3475
Fax
(971) 277-7695
NPI assigned
Feb 26, 2024
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Ember Von Letkemann, LPCNPI 1679754493
Title
Licensed Professional Counselor
Phone
(971) 260-3475

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1020 SW Taylor St Ste 660
Portland, OR 97205-2559

Mailing address

1020 SW Taylor St Ste 660
Portland, OR 97205-2559
Phone (971) 260-3475

Other names 1

  • Embodyment Counseling Former legal business name

National Provider Directory

National Provider Directory

Locations

1020 SW Taylor St
Ste 660
Portland, OR 97205
Phone (503) 347-0171

Practitioners & affiliated clinicians

Practitioners 1

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": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1366208522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 660",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052559",
            "telephone_number": "971-260-3475",
            "fax_number": "971-277-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 660",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052559",
            "telephone_number": "971-260-3475",
            "fax_number": "971-277-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODYMENT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "VON LETKEMANN",
        "authorized_official_first_name": "EMBER",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "971-260-3475",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embodyment Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 26, 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.