Imaginative Healing Collective

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IMAGINATIVE HEALING COLLECTIVE

Practice address

28925 SW Boberg Rd
Wilsonville, OR 97070-8218

Phone

(503) 939-9447

NPI assigned

Dec 19, 2025

Organization subpart

No

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

Authorized official

Name

Carmen Ryan, LPC, MS, MBANPI 1609656149

Title

Owner/Counselor

Phone

(503) 939-9447

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.

• Carmen Ryan, LPC, MS, MBA

  • Professional Counselor
  • Wilsonville, OR
  • NPI 1609656149
  NPD Authorized official

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1609731835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29385 SW TETON WAY",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708501",
            "telephone_number": "503-939-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28925 SW BOBERG RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708218",
            "telephone_number": "503-939-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINATIVE HEALING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "503-939-9447",
        "authorized_official_credential": "LPC, MS, MBA"
    },
    "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": []
}

• Jerry Huff Jr.
• Timothy B Hughes, DPT, PT
• Gina Dever Huntley, LMT
• Rosiland Lynn Hursh, O.D.
• Scott Iburg, O.D.
• Elaine Imoniruwe
• Innervision Optometric Inc. (Eye to Eye Clinic Wilsonville)
• Interventional and Vascular Consultants PC
• Kelli Burk Iranshad, OTR/L
• Iron Hands Sports Massage and Rehab, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.