Active NPI
Cultivate Wellness Counseling LLC
- Adult Mental Health Clinic/Center
- Beaverton, OR
National Provider Identifier
1720733678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CULTIVATE WELLNESS COUNSELING LLC
- Practice address
- 7084 SW 181St PL
Beaverton, OR 97007-5252 - Phone
- (503) 781-3278
- NPI assigned
- Feb 18, 2022
- Last updated
- Feb 18, 2022
- 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
- Sarah Rebecca Paul, PMHNP
- Title
- Owner
- Phone
- (503) 781-3278
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary | |
| Mental Health Counselor | 101YM0800X | NU |
Addresses
Primary practice location
7084 SW 181St PL
Beaverton, OR 97007-5252
Mailing address
7084 SW 181St PL
Beaverton, OR 97007-5252
Phone (503) 781-3278
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1366872517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645142400000",
"number": "1720733678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7084 SW 181ST PL",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970075252",
"telephone_number": "503-781-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7084 SW 181ST PL",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970075252",
"telephone_number": "503-781-3278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CULTIVATE WELLNESS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-781-3278",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.