Kurt Woodruff Sproul, PCA, APCC, ACMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C10862 Issued in OR

Practice address

Mindful Therapy Group
5440 SW Westgate Dr, Suite 350
Portland, OR 97239

Phone

(425) 678-6463

NPI assigned

Feb 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Mental Health, OR

  Medicare reassignment Care Compare group NPD
• Livelovelearn LLC

  • Mental Health Counselor
  • Cedar City, UT
  • NPI 1386571842
  NPD Authorized official
• Twin Town Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Hollywood, CA
  • NPI 1124454962
  NPD (past)

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1689174757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "323-636-6135",
            "fax_number": "801-206-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MINDFUL THERAPY GROUP",
            "address_2": "5440 SW WESTGATE DR, SUITE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "425-678-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUL",
        "first_name": "KURT",
        "middle_name": "WOODRUFF",
        "credential": "PCA, APCC, ACMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C10862",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13147561-6009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springwater Therapy, LLC
• Courtney Sprinkling-Felt, RN
• Christopher Michael Sprinzyk, RD
• Sproul Counseling and Consulting, LLC
• Jane M Sproul, MS, LPC
• Teri Fleckinger Sprouse, LCSW
• Sprout Therapy PDX
• Sprout Therapy PDX LLC
• Sprouted Roots Therapy & Wellness, LLC
• Cappy Anne Spruance

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.