Polly Gravely Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POLLY GRAVELY COUNSELING LLC

Practice address

5319 SW Westgate Dr Ste 246
Portland, OR 97221-2434

Phone

(503) 310-7472

NPI assigned

Feb 12, 2020

Last updated

Aug 15, 2025By 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

Polly Gravely, LPC, MFTNPI 1386003168

Title

Professional Counselor

Phone

(503) 310-7472

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.

• Polly Gravely, M.S., LPC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1386003168
  NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1588297063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 SW 53RD PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212015",
            "telephone_number": "503-310-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR STE 246",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212434",
            "telephone_number": "503-310-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLY GRAVELY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "GRAVELY",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "503-310-7472",
        "authorized_official_credential": "LPC, MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Polley I
• Rachel A Pollin, LPC
• Elizabeth Brandt Pollock, M.AC.O.M., L.AC.
• Mark A Pollock, MS
• William Garrett Pollock, LCSW, CADCIII
• Andrea Marie Polo, FNP
• Oscar Raphael Polo, M.D.
• Jan Linette Polson, L,AC., DIPL. AC.
• Marina Poltorak
• Jessica Polverini, RN

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, 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 Aug 15, 2025; 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.