Portland Community Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7311 Issued in OR

Legal business name

PORTLAND COMMUNITY COUNSELING LLC

Practice address

1016 SE 12TH Ave
Portland, OR 97214-2513

Phone

(503) 610-3510

NPI assigned

Jul 18, 2017

Last updated

Jul 21, 2022By 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

Ms. Catherine Blanche Rose, LCSWNPI 1235414012

Title

Owner

Phone

(503) 610-3510

Specialties & licenses 1

Addresses

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.

• Catherine Blanche Rose

  • Clinical Social Worker
  • Portland, OR
  • NPI 1235414012
  Authorized official Same address or phone

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821511239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142513",
            "telephone_number": "503-610-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142513",
            "telephone_number": "503-610-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND COMMUNITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "BLANCHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-610-3510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portland Clinic (The Portland Clinic Surgical Center)
• Portland Clinic
• Portland Compassionate Care Consulting
• Portland Compounding Pharmacy LLC (Lloyd Center Pharmacy)
• Portland Dart Schools
• Portland DBT Institute, Inc. (Portland DBT Institute of Salem)
• Portland Dental and Naturopathic Clinic

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.