Birch Grove Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4684 Issued in OR

Legal business name

BIRCH GROVE COUNSELING LLC

Practice address

3787 River Rd N Ste C
Keizer, OR 97303-4899

Phone

(503) 580-7336

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Laurie Holland-Klein, LCSW

Title

Owner

Phone

(503) 580-7336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1497243182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 DELMAR DR N",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973036020",
            "telephone_number": "907-388-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 RIVER RD N STE C",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034899",
            "telephone_number": "503-580-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH GROVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "HOLLAND-KLEIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-580-7336",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "4684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164591681",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Justine Berry
• Erin Beyer, MOTR/L
• Beyond the Self, LLC
• Renu Bhandari
• Birch Grove Counseling LLC
• Gibran Biswas, PHARMD
• Kay Ellen Blachly, PT CHT
• Paige Christine Blair
• Erik D Blake, MD
• Loretta K Bliss, LMT

• Community/Behavioral Health Agency in Keizer, OR
• Providers in Keizer, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.