Active NPI
Rainbow Creative, LLC
- Mental Health Counselor
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RAINBOW CREATIVE, LLC
- Practice address
- 8311 SE 13TH Ave Ste B
Portland, OR 97202-7170 - Phone
- (503) 389-0398
- Fax
- (503) 200-1178
- NPI assigned
- Dec 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colin Wolf, LPC, LMFT
- Title
- Ceo
- Phone
- (503) 389-0398
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
8311 SE 13TH Ave Ste B
Portland, OR 97202-7170
Mailing address
8311 SE 13TH Ave Ste B
Portland, OR 97202-7170
Phone (503) 389-0398
Other names 1
- Queerapy
National Provider Directory
National Provider Directory- Tax ID family
- Queerapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Portland, OR
- NPI 1578417234
Locations
8311 SE 13th Ave
Ste B
Portland, OR 97202
Phone (503) 389-0398
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Portland, OR
- NPI 1629325477
-
- Marriage & Family Therapist
- Portland, OR
- NPI 1184943029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720137600000",
"number": "1528655263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8311 SE 13TH AVE STE B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027170",
"telephone_number": "503-389-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8311 SE 13TH AVE STE B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027170",
"telephone_number": "503-389-0398",
"fax_number": "503-200-1178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAINBOW CREATIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "COLIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "503-389-0398",
"authorized_official_credential": "LPC, LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Queerapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Queerapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 5, 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.