Organization Active NPI

The Relational Space Psychotherapy LLC

  • Mental Health Counselor
  • McMinnville, OR
National Provider Identifier
1407548290
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE RELATIONAL SPACE PSYCHOTHERAPY LLC
Practice address
645 NE 3Rd St Ste 200a
McMinnville, OR 97128-4525
Phone
(971) 267-2789
Fax
(541) 275-0960
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Kristina Wells, MANPI 1437841145
Title
Owner
Phone
(503) 928-0559

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

645 NE 3Rd St Ste 200a
McMinnville, OR 97128-4525

Mailing address

8300 NE Highway 99W
McMinnville, OR 97128-8243
Phone (971) 267-2789

Other practice location 1

8300 NE Highway 99W
McMinnville, OR 97128-8243
Phone (971) 267-2789

National Provider Directory

National Provider Directory

Locations

645 NE 3rd St
Ste 200A
McMinnville, OR 97128
Phone (971) 267-2789

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": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1407548290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 NE HIGHWAY 99W",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288243",
            "telephone_number": "971-267-2789",
            "fax_number": "541-275-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 NE 3RD ST STE 200A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284525",
            "telephone_number": "971-267-2789",
            "fax_number": "541-275-0960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 NE Highway 99W",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971288243",
            "country_code": "US",
            "telephone_number": "971-267-2789",
            "fax_number": "541-275-0960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE RELATIONAL SPACE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-928-0559",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.