NPIMap

Organization Active NPI

Sprout Therapy PDX

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1457190969
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SPROUT THERAPY PDX
Practice address
7704 N Hereford Ave
Portland, OR 97203-3434
Phone
(971) 319-4827
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Rachel SweetNPI 1548002538
Title
Associate Clinician
Phone
(541) 954-6006

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

7704 N Hereford Ave
Portland, OR 97203-3434

Mailing address

10204 SW Conestoga Dr Apt 19
Beaverton, OR 97008-8419
Phone (541) 954-6006

National Provider Directory

National Provider Directory

Locations

7704 N Hereford Ave
Portland, OR 97203
Phone (503) 780-9243

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1457190969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 SW CONESTOGA DR APT 19",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970088419",
            "telephone_number": "541-954-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 N HEREFORD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033434",
            "telephone_number": "971-319-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT THERAPY PDX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "ASSOCIATE CLINICIAN",
        "authorized_official_telephone_number": "541-954-6006"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 May 23, 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.