NPIMap

Organization Active NPI

Gretchen Gulotta, LLC

  • Mental Health Counselor
  • Lake Oswego, OR
National Provider Identifier
1447094719
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GRETCHEN GULOTTA, LLC
Practice address
9 Monroe Pkwy Ste 250
Lake Oswego, OR 97035-8866
Phone
(503) 476-1031
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Gretchen Gulotta, LPCNPI 1073081261
Title
Mental Health Counselor
Phone
(503) 476-1031

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9 Monroe Pkwy Ste 250
Lake Oswego, OR 97035-8866

Mailing address

2335 SW Briggs Rd Apt 32
Beaverton, OR 97005-1159
Phone (503) 476-1031

National Provider Directory

National Provider Directory

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": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1447094719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 SW BRIGGS RD APT 32",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051159",
            "telephone_number": "503-476-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 250",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358866",
            "telephone_number": "503-476-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN GULOTTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "GULOTTA",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "503-476-1031",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

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