Great Soul Counseling&Consultation LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C2158 Issued in OR

Legal business name

GREAT SOUL COUNSELING&CONSULTATION LLC

Practice address

1235 SE Division St Ste 106C
Portland, OR 97202-1042

Phone

(503) 449-7955

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Antonia Mueller, LPC

Title

Therapist

Phone

(503) 449-7955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1881128163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 106C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 106C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021042",
            "telephone_number": "503-449-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SOUL COUNSELING&CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "503-449-7955",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C2158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Grazer, MD
• Alyssa Joelle Graziano
• Jeremy Graziano, O.D.
• Ellen Greaney
• Great Blue Heron Counseling LLC
• Cheryl Lynn Greathouse, MA
• Kelly Greathouse, MOT
• Ashley Nicole Greaves
• David W. Greaves, PH.D.
• Kelly Lynne Turner Greblo

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.