Active NPI
Interpersonal Growth Organization, LLC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1740788926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- INTERPERSONAL GROWTH ORGANIZATION, LLC
- Practice address
- 2279 NW Irving St
Portland, OR 97210-3222 - Phone
- (541) 602-3536
- NPI assigned
- Jan 23, 2018
- 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
- Stacy Lawhead, LPC
- Title
- Owner
- Phone
- (541) 602-3536
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2279 NW Irving St
Portland, OR 97210-3222
Mailing address
PO Box 10032
Portland, OR 97296-0032
Phone (541) 602-3536
National Provider Directory
National Provider DirectoryLocations
2279 NW Irving St
Portland, OR 97210
Phone (415) 205-3955
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597363200000",
"number": "1740788926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10032",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972960032",
"telephone_number": "541-602-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 NW IRVING ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103222",
"telephone_number": "541-602-3536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERPERSONAL GROWTH ORGANIZATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-23",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A",
"authorized_official_last_name": "LAWHEAD",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-602-3536",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Interim Healthcare of Oregon, Inc.
- Internal Medicine Associates of Portland, LLC
- Internal Medicine Consultants, P.C.
- Internal Medicine of Oregon, LLC
- Internal Medicine Specialists, LLC
- Interstate Medical Group LLC
- Onedonna Inthavong, LMT
- C. Maria Intrieri, DC
- Intuitive You LLC
- Invictus Counseling and Consulting, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.