Active NPI
Brave Acorn
Doing business as Brave Acorn Counseling
- Clinical Social Worker
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4301
- Legal business name
- BRAVE ACORN
- Doing business as
- Brave Acorn Counseling
- Practice address
- 1675 SW Marlow Ave
Suite 303
Portland, OR 97225 - Phone
- (503) 709-5137
- Fax
- (503) 200-1198
- NPI assigned
- May 4, 2018
- Last updated
- Aug 18, 2020
- 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 C Alexander, LCSW
- Title
- Owner
- Phone
- (503) 709-5137
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4301 | OR | Primary |
Addresses
Primary practice location
1675 SW Marlow Ave
Suite 303
Portland, OR 97225
Mailing address
1675 SW Marlow Ave Ste 303
Portland, OR 97225-5102
Phone (503) 709-5137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26-4409846 | Medicaid | OR |
Other names 1
- Brave Acorn Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2512 SE 25th Ave
Ste 305
Portland, OR 97202
Phone (503) 709-5137
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Social Worker
- Portland, OR
- NPI 1932340726
-
- Clinical Social Worker
- Vancouver, WA
- NPI 1720503634
-
- Marriage & Family Therapist
- Bloomfield, NJ
- NPI 1568870780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597708800000",
"number": "1760971824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 SW MARLOW AVE STE 303",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255102",
"telephone_number": "503-709-5137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 SW MARLOW AVE",
"address_2": "SUITE 303",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97225",
"telephone_number": "503-709-5137",
"fax_number": "503-200-1198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAVE ACORN",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-04",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-709-5137",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "4301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26-4409846",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brave Acorn Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Brave Acorn Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
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 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.