Organization Active NPI

Centered Growth Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redmond, WA
National Provider Identifier
1417486671
Registry record updated May 21, 2024
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
CENTERED GROWTH COUNSELING, PLLC
Practice address
7345 164TH Ave NE Ste I145
Redmond, WA 98052-7848
Phone
(503) 765-6209
NPI assigned
Jun 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dane Nielsen, MA, LPC, LMHC, CADCNPI 1952773137
Title
Owner
Phone
(503) 765-6209

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

7345 164TH Ave NE Ste I145
Redmond, WA 98052-7848

Mailing address

14511 Westlake Dr Ste 120
Lake Oswego, OR 97035-7773
Phone (503) 765-6209

National Provider Directory

National Provider Directory

Locations

14511 Westlake Dr
Ste 120
Lake Oswego, OR 97035
Phone (503) 329-1813

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": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1417486671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14511 WESTLAKE DR STE 120",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357773",
            "telephone_number": "503-765-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 164TH AVE NE STE I145",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527848",
            "telephone_number": "503-765-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED GROWTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-765-6209",
        "authorized_official_credential": "MA, LPC, LMHC, CADC"
    },
    "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 Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.