Organization Active NPI

Prosperity Path

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1679497440
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROSPERITY PATH
Practice address
75 NW Couch St Ste 400
Portland, OR 97209-4018
Phone
(704) 761-3187
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Jonathon C Lilley, QDDP
Title
Ceo
Phone
(704) 761-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

75 NW Couch St Ste 400
Portland, OR 97209-4018

Mailing address

75 NW Couch St Ste 400
Portland, OR 97209-4018
Phone (704) 761-3187

National Provider Directory

National Provider Directory

Locations

75 NW Couch St
Ste 400
Portland, OR 97209

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1679497440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NW COUCH ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094018",
            "telephone_number": "704-761-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NW COUCH ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094018",
            "telephone_number": "704-761-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY PATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "LILLEY",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-761-3187",
        "authorized_official_credential": "QDDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Aug 5, 2026; 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.