NPIMap

Organization Active NPI

Active Recovery TMS PLLC

Doing business as Active Path Mental Health

  • Psychiatry Physician
  • Clackamas, OR
National Provider Identifier
1881287787
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ACTIVE RECOVERY TMS PLLC
Doing business as
Active Path Mental Health
Practice address
10151 SE Sunnyside Rd Ste 360
Clackamas, OR 97015-5705
Phone
(503) 719-4648
NPI assigned
Feb 11, 2021
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Whitney Archer
Title
Director of Operations
Phone
(971) 409-5319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

10151 SE Sunnyside Rd Ste 360
Clackamas, OR 97015-5705

Mailing address

11850 SW 67TH Ave Ste 105
Portland, OR 97223-8963
Phone (503) 719-4648

Other names 1

  • Active Path Mental Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://portal.kareo.com/pp-webapp/app/new/login Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210504001021 OR Part B Supplier - Clinic/Group Practice 9032528047 Receives reassigned benefits from 10 practitioners
Practice locations: Clackamas, OR; Hillsboro, OR; Portland, OR; Salem, OR; Tigard, OR
O20210526003451 WA Part B Supplier - Clinic/Group Practice 9032528047 Receives reassigned benefits from 9 practitioners
Practice locations: Kirkland, WA; Vancouver, WA

National Provider Directory

National Provider Directory

Locations

10151 SE Sunnyside Rd
Ste 380
Clackamas, OR 97015
Phone (503) 610-6563

4949 Meadows Rd
Ste 250
Lake Oswego, OR 97035
Phone (503) 708-9901

2525 12th St SE
Ste 210
Salem, OR 97302
Phone (503) 610-6563

11850 SW 67th Ave
Ste 105
Tigard, OR 97223
Phone (503) 647-6456

7455 SW Bridgeport Rd
Ste 210
Tigard, OR 97224
Phone (503) 765-8376

1499 SE Tech Center Pl
Ste 170
Vancouver, WA 98683
Phone (503) 494-6461

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1881287787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 SW 67TH AVE STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238963",
            "telephone_number": "503-719-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 SE SUNNYSIDE RD STE 360",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155705",
            "telephone_number": "503-719-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE RECOVERY TMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "971-409-5319"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://portal.kareo.com/pp-webapp/app/new/login",
            "affiliation": "N",
            "endpointDescription": "Secure Patient Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "10151 SE Sunnyside Rd Ste 360",
            "city": "Clackamas",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970155705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Active Path Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.