Active NPI
Expressive Arts Alliance
- Professional Counselor
- Newberg, OR
National Provider Identifier
1962296269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- EXPRESSIVE ARTS ALLIANCE
- Practice address
- 17250 NE Lewis Rogers LN
Newberg, OR 97132-6581 - Phone
- (828) 777-1962
- NPI assigned
- Apr 9, 2025
- 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
- Siri Khalsa
- Title
- Admin
- Phone
- (828) 777-1962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
17250 NE Lewis Rogers LN
Newberg, OR 97132-6581
Mailing address
122 E 28TH St
Vancouver, WA 98663-3015
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.
-
- Professional Counselor
- Vancouver, WA
- NPI 1861599292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1962296269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E 28TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17250 NE LEWIS ROGERS LN",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971326581",
"telephone_number": "828-777-1962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESSIVE ARTS ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "KHALSA",
"authorized_official_first_name": "SIRI",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "828-777-1962"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.