Active NPI
Prosperity Path
- Community/Behavioral Health Agency
- Portland, OR
National Provider Identifier
1679497440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.