Organization Active NPI

Thunderegg Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
National Provider Identifier
1508587825
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THUNDEREGG COUNSELING LLC
Practice address
1916 SW Madison St
Portland, OR 97205-1718
Phone
(502) 420-7494
NPI assigned
Sep 6, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Alexander Macleod, CRC, NCCNPI 1427778448
Title
Organizer/Owner/Operator/Counselor
Phone
(503) 420-7494

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1916 SW Madison St
Portland, OR 97205-1718

Mailing address

PO Box 14484
Portland, OR 97293-0484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1508587825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14484",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972930484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 SW MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051718",
            "telephone_number": "502-420-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDEREGG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "ORGANIZER/OWNER/OPERATOR/COUNSELOR",
        "authorized_official_telephone_number": "503-420-7494",
        "authorized_official_credential": "CRC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "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 Sep 20, 2022; 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.