Illuminate and Liberate Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ILLUMINATE AND LIBERATE COUNSELING, LLC

Practice address

2031 SE Belmont St
Portland, OR 97214-2812

Phone

(503) 907-6132

NPI assigned

Feb 2, 2024

Last updated

Feb 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cyrena ZbibNPI 1073080495

Title

Mental Health Counselor

Phone

(503) 907-6132

Specialties & licenses 1

Addresses

Other names 1

• Noor Al-Tahrir Other name

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.

• Cyrena Zbib

  • Mental Health Counselor
  • Portland, OR
  • NPI 1073080495
  NPD Authorized official

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1740043603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142812",
            "telephone_number": "503-907-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE AND LIBERATE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "ZBIB",
        "authorized_official_first_name": "CYRENA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "503-907-6132"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noor Al-Tahrir",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Feb 2, 2024; 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.