Active NPI
Unravel Awareness Psychotherapy, LLC
- Adult Mental Health Clinic/Center
- Portland, OR
National Provider Identifier
1861253288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhen Miles, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Portland, OR
- NPI 1104586601
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.