Organization Active NPI

Building Resiliency LLC

  • Professional Counselor
  • Gresham, OR
National Provider Identifier
1972044790
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
R4360 Issued in OR
Legal business name
BUILDING RESILIENCY LLC
Practice address
510 NE Roberts Ave Ste 310
Gresham, OR 97030-7485
Phone
(503) 997-8863
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Desiree Dawn Stang, MA, CADC I, CCTP
Title
Registered LPC Intern
Phone
(503) 997-8863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X R4360 OR Primary

Addresses

Primary practice location

510 NE Roberts Ave Ste 310
Gresham, OR 97030-7485

Mailing address

2129 SE 176TH Ave
Portland, OR 97233-5203
Phone (503) 997-8863

National Provider Directory

National Provider Directory

Locations

510 NE Roberts Ave
Ste 310
Gresham, OR 97030
Phone (503) 997-8863

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1972044790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 SE 176TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335203",
            "telephone_number": "503-997-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NE ROBERTS AVE STE 310",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307485",
            "telephone_number": "503-997-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING RESILIENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "STANG",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "REGISTERED LPC INTERN",
        "authorized_official_telephone_number": "503-997-8863",
        "authorized_official_credential": "MA, CADC I, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R4360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.