Green Sheep Art Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GREEN SHEEP ART THERAPY LLC

Practice address

2808 NE Martin Luther King Blvd Ste M
Portland, OR 97212-3061

Phone

(971) 270-0535

Fax

(971) 369-9809

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Katherine Lee Wood, COUNSELOR ASSOCIATENPI 1245962653

Title

Reg Counselor Associate/Owner

Phone

(971) 270-0535

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Katherine L Wood

  • Professional Counselor
  • Portland, OR
  • NPI 1245962653
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1871373548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 NE MARTIN LUTHER KING BLVD STE M",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123061",
            "telephone_number": "971-270-0535",
            "fax_number": "971-369-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 NE MARTIN LUTHER KING BLVD STE M",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123061",
            "telephone_number": "971-270-0535",
            "fax_number": "971-369-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SHEEP ART THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REG COUNSELOR ASSOCIATE/OWNER",
        "authorized_official_telephone_number": "971-270-0535",
        "authorized_official_credential": "COUNSELOR ASSOCIATE"
    },
    "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": []
}

• Samantha Greed, RN
• Glenn Alan Greeder, MD
• Katherine Green Haber, L.AC.
• Green Heron Physical Therapy LLC
• Green Leaf Natural Medicine LLC
• Isaiah Green-Jones, MSW. QMHP
• Catelin Rose Green-Sanfilippo
• Angelene Green, QMHA, CPRP
• Astrid H Green, MS, LPC, CSAT
• Azana Kacie Green, SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.