Organization Active NPI

Rainbow Creative, LLC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1528655263
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Colin Wolf, LPC, LMFTNPI 1629325477
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Queerapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.