NPIMap

Organization Active NPI

Whole Life Therapy

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1598201519
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C4272 Issued in OR
Legal business name
WHOLE LIFE THERAPY
Practice address
1744 NE 42ND Ave Ste a
Portland, OR 97213-1537
Phone
(503) 250-3123
Fax
(541) 631-2602
NPI assigned
Jan 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Colleen Burke-Sivers, LPC
Title
Owner
Phone
(503) 250-3123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X C4272 OR Primary

Addresses

Primary practice location

1744 NE 42ND Ave Ste a
Portland, OR 97213-1537

Mailing address

1744 NE 42ND Ave Ste a
Portland, OR 97213-1537
Phone (503) 250-3123

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1598201519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 NE 42ND AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131537",
            "telephone_number": "503-250-3123",
            "fax_number": "541-631-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 NE 42ND AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131537",
            "telephone_number": "503-250-3123",
            "fax_number": "541-631-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "BURKE-SIVERS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-250-3123",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4272",
            "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 Jan 13, 2017; 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.