Organization Active NPI

Grounded Grief Therapy LLC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1417598731
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GROUNDED GRIEF THERAPY LLC
Practice address
3539 N Williams Ave Ste 201
Portland, OR 97227-1437
Phone
(202) 599-1913
NPI assigned
Oct 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Katherine Hatch
Title
Owner
Phone
(503) 708-5339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3539 N Williams Ave Ste 201
Portland, OR 97227-1437

Mailing address

42 NE Tillamook St Unit D
Portland, OR 97212-3742
Phone (503) 708-5339

National Provider Directory

National Provider Directory

Locations

3539 N Williams Ave
Ste 201
Portland, OR 97227
Phone (202) 599-1913

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1417598731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NE TILLAMOOK ST UNIT D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123742",
            "telephone_number": "503-708-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 N WILLIAMS AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271437",
            "telephone_number": "202-599-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED GRIEF THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-708-5339"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 8, 2019; 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.