Pine Mountain Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PINE MOUNTAIN COUNSELING

Practice address

7805 SW 40TH Ave Unit 19932
Portland, OR 97219-1643

Phone

(503) 455-4305

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Cerina Griffin, MS, MFTNPI 1700281730

Title

Owner

Phone

(503) 455-4305

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cerina Griffin, M.S., M.F.T

  • Mental Health Counselor
  • Newport Beach, CA
  • NPI 1700281730
  NPD Authorized official

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1790305233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19932",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972800932",
            "telephone_number": "503-455-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 SW 40TH AVE UNIT 19932",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191643",
            "telephone_number": "503-455-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4341 SW Bella Pl",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053443",
            "country_code": "US",
            "telephone_number": "503-455-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINE MOUNTAIN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CERINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-455-4305",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI AS SOLE PROPRIETOR",
            "identifier": "1700281730",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Patient Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Information",
            "address_1": "7805 SW 40th Ave Unit 19932",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972191643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caryn Jean Pinard, MSW
• Rachel L Pincetich, L.M.T.
• Sandra Kay Pinches, PH.D.
• Alexander James Pinck, COTA/L
• Montana Pindell, CSWA
• Diedra M Pine, MOT
• Pinecrest Senior Villa
• Amy Pineda, PT
• Jorge Alberto Pineda Jr., M.D.
• Fatima Pinedo Botello

• 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 Apr 24, 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.

Verify at the official NPI Registry.