Cultivate Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6435 Issued in OR

Legal business name

CULTIVATE THERAPY

Practice address

3050 SE Division St Ste 210
Portland, OR 97202-1451

Phone

(503) 828-3899

NPI assigned

Apr 8, 2016

Organization subpart

No

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

Authorized official

Name

Jon Joebgen, LCSW

Title

Therapist/Owner

Phone

(503) 828-3899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1497119135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86436",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972860436",
            "telephone_number": "503-828-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 SE DIVISION ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021451",
            "telephone_number": "503-828-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "JOEBGEN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "503-828-3899",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "6435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Cullop
• Rachel Elizabeth Culmo, MSN, AGPCNP-BC
• Josie Elise Culp
• Stephanie Lenore Culps, CRM/PSS
• Cultivate Portland LLP
• Cultivating a New Life LLC
• Amber R. Culver, LCSW
• Brinn Culver
• Stephanie Culver, N.D.
• Kristin Ruth Cumings

• 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 Apr 8, 2016; 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.