Organization Active NPI

Aurora Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
National Provider Identifier
1871107045
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AURORA COUNSELING, LLC
Practice address
2505 SE 11TH Ave Ste 238
Portland, OR 97202-1062
Phone
(646) 696-1289
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Ms. Shannon N. Mouzon, LPCNPI 1780098996
Title
Owner/Psychotherapist
Phone
(503) 468-6993

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2505 SE 11TH Ave Ste 238
Portland, OR 97202-1062

Mailing address

2505 SE 11TH Ave Ste 238
Portland, OR 97202-1062
Phone (646) 696-1289

National Provider Directory

National Provider Directory

Locations

2505 SE 11th Ave
Ste 238
Portland, OR 97202
Phone (503) 460-7638

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": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1871107045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SE 11TH AVE STE 238",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021062",
            "telephone_number": "646-696-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SE 11TH AVE STE 238",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021062",
            "telephone_number": "646-696-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "MOUZON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "503-468-6993",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 3, 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.