Organization Active NPI

Courage Psychotherapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Astoria, OR
National Provider Identifier
1396476883
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COURAGE PSYCHOTHERAPY, LLC
Practice address
1 12TH St Ste 208
Astoria, OR 97103-4146
Phone
(503) 470-1520
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Grace K Jacobson, PSYDNPI 1750920443
Title
Licensed Psychologist
Phone
(503) 470-1520

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1 12TH St Ste 208
Astoria, OR 97103-4146

Mailing address

1 12TH St Ste 201B
Astoria, OR 97103-4146

Other practice location 1

162 W Grand Ave
Astoria, OR 97103-6410
Phone (503) 470-1520

National Provider Directory

National Provider Directory

Locations

1 12th St
Ste 208
Astoria, OR 97103
Phone (503) 470-1520

1 12th St
Ste 201B
Astoria, OR 97103

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": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1396476883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 12TH ST STE 201B",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 12TH ST STE 208",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034146",
            "telephone_number": "503-470-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "OR",
            "postal_code": "971036410",
            "country_code": "US",
            "telephone_number": "503-470-1520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COURAGE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-470-1520",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.