Organization Active NPI

Arbor Counseling & Consulting LLC

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1619634508
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ARBOR COUNSELING & CONSULTING LLC
Practice address
7105 N Delaware Ave
Portland, OR 97217-5703
Phone
(971) 599-6431
NPI assigned
Nov 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Authorized official

Name
Kaysey Crump, LCSWNPI 1376990770
Title
Member
Phone
(503) 890-5967

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7105 N Delaware Ave
Portland, OR 97217-5703

Mailing address

2800 N Lombard St # 216
Portland, OR 97217-6234
Phone (971) 599-6431

Other identifiers 2

IdentifierTypeStateIssuer
1376990770MedicaidOR
1639577133MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1619634508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N LOMBARD ST # 216",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972176234",
            "telephone_number": "971-599-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 N DELAWARE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175703",
            "telephone_number": "971-599-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "KAYSEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-890-5967",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376990770",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639577133",
            "state": "OR"
        }
    ],
    "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 Nov 26, 2021; 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.