Multnomah Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3148 Issued in OR

Legal business name

MULTNOMAH THERAPY, LLC

Practice address

7409 SW Capitol Hwy Ste 205B
Portland, OR 97219-2432

Phone

(503) 460-7881

NPI assigned

Sep 26, 2014

Last updated

Sep 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linden Johanson, LPC, NCC, CCMHCNPI 1871901108

Title

Owner, Counselor

Phone

(503) 460-7881

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Linden Johanson, LPC

  • Professional Counselor
  • Portland, OR
  • NPI 1871901108
  NPD (past) Authorized official

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1508269143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 SW CAPITOL HWY STE 205B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192432",
            "telephone_number": "503-460-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 SW CAPITOL HWY STE 205B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192432",
            "telephone_number": "503-460-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTNOMAH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "JOHANSON",
        "authorized_official_first_name": "LINDEN",
        "authorized_official_title_or_position": "OWNER, COUNSELOR",
        "authorized_official_telephone_number": "503-460-7881",
        "authorized_official_credential": "LPC, NCC, CCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Multnomah Esd Mecp
• Multnomah Esd SHS
• Multnomah Family Care Center
• Multnomah Family Care Center
• Multnomah Orthopedic Clinic
• Multnomah Village Dental Care
• Belsti Yeshealem Muluneh, PMHNP STUDENT
• Olivia Mulvaney
• Angela Coretha Mumford
• Jared Paul Mumford

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.