Full Circle Ecotherapy and Family Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FULL CIRCLE ECOTHERAPY AND FAMILY SERVICES LLC

Practice address

9201 SE Foster Rd Ste 202
Portland, OR 97266-4644

Phone

(971) 350-9205

Fax

(866) 541-2731

NPI assigned

May 23, 2024

Organization subpart

No

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

Authorized official

Name

Oriana Korol, LCSWNPI 1770110041

Title

Owner/Therapy

Phone

(971) 350-9205

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oriana Korol

  • Clinical Social Worker
  • Portland, OR
  • NPI 1770110041
  NPD Authorized official
• Euryale Enitan, LMHCA

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1194434977
  NPD (past)

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": "1487493847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 SE HAROLD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065230",
            "telephone_number": "971-350-9205",
            "fax_number": "866-541-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 SE FOSTER RD STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664644",
            "telephone_number": "971-350-9205",
            "fax_number": "866-541-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE ECOTHERAPY AND FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "KOROL",
        "authorized_official_first_name": "ORIANA",
        "authorized_official_title_or_position": "OWNER/THERAPY",
        "authorized_official_telephone_number": "971-350-9205",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500782081",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jannelle Marie Fukuji, PA-C
• Summer Anne-Marie Fulcher
• Davia Fulford
• Deborah K Fulkerson, OT
• Full Circle Community Services
• Full Moon Wellness and Consulting, LLC
• Full Spectrum Therapy LLC
• Bret Eugene Fuller, PH.D.
• Chelsey Marie Fuller
• Jesse Fuller

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• 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.