Organization Active NPI

Unravel Awareness Psychotherapy, LLC

  • Adult Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1861253288
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
UNRAVEL AWARENESS PSYCHOTHERAPY, LLC
Practice address
9025 NE Sacramento St
Portland, OR 97220-5458
Phone
(971) 373-7728
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Rhen Miles, LCSWNPI 1104586601
Title
Licensed Clinical Social Worker
Phone
(971) 373-7728

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)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

9025 NE Sacramento St
Portland, OR 97220-5458

Mailing address

9025 NE Sacramento St
Portland, OR 97220-5458
Phone (971) 373-7728

Other names 1

  • Unravel Awareness Psychotherapy, LLC Doing business as

National Provider Directory

National Provider Directory

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1861253288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 NE SACRAMENTO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205458",
            "telephone_number": "971-373-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 NE SACRAMENTO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205458",
            "telephone_number": "971-373-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNRAVEL AWARENESS PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "RHEN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "971-373-7728",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unravel Awareness Psychotherapy, LLC",
            "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 Jan 22, 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.