Alchemy Psychotherapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ALCHEMY PSYCHOTHERAPY

Practice address

2308 SE 40TH Ave
Portland, OR 97214-5922

Phone

(503) 388-0674

NPI assigned

Aug 12, 2024

Last updated

Aug 12, 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

Bryan Jensen Ko, LPCCNPI 1265008171

Title

Owner/Manager

Phone

(503) 388-0674

Specialties & licenses 1

Addresses

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.

• Bryan Jensen Ko

  • Mental Health Counselor
  • Portland, OR
  • NPI 1265008171
  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1407687577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SE 40TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145922",
            "telephone_number": "503-388-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 SE 40TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145922",
            "telephone_number": "503-388-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCHEMY PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "JENSEN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "503-388-0674",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milo Albright, LMT
• Ricardo Alcala Meza
• Crystal Alcala
• Liliana Rubi Alcantara-Barrios
• Demesia Alcazar
• Alchemy Wellness
• Alcmag Inc.
• Alexis Alcorn, ND
• Vera Alcorn, ND
• Cynthia Lynn Aldama

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.