Active NPI
Rose and Fern Counseling LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
National Provider Identifier
1669063525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ROSE AND FERN COUNSELING LLC
- Practice address
- 3439 SE Hawthorne Blvd # 1114
Portland, OR 97214-5048 - Phone
- (503) 433-3443
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah Caitlin Nelson, PHD
- Title
- Owner
- Phone
- (503) 433-3443
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3439 SE Hawthorne Blvd # 1114
Portland, OR 97214-5048
Mailing address
1311 SE 53Rd Ave
Portland, OR 97215-2648
Phone (503) 433-3443
National Provider Directory
National Provider DirectoryLocations
501 SW 10th Ave
Ste 604
Portland, OR 97205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Portland, OR
- NPI 1932790896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1669063525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 SE 53RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152648",
"telephone_number": "503-433-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3439 SE HAWTHORNE BLVD # 1114",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145048",
"telephone_number": "503-433-3443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE AND FERN COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "CAITLIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-433-3443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"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": []
}
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 Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.